Individual provider Active NPI

Joseph Andrew Manfredi, MD

  • Clinical Cardiac Electrophysiology Physician
  • Greenville, SC
National Provider Identifier
1053362269
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
29936 Issued in SC
Practice address
1005 Grove Rd
Greenville, SC 29605-4630
Phone
(864) 455-6900
Fax
(864) 255-5619
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29936 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X 29936 SC Primary

Addresses

Primary practice location

1005 Grove Rd
Greenville, SC 29605-4630

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other identifiers 5

IdentifierTypeStateIssuer
299368MedicaidSC
GP2315MedicaidSC
GP1453MedicaidSC
29936MedicaidSC
GP2312MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmanfredi5529@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000162 SC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5890705248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

1 Doctors Dr
Suite 100
Greenville, SC 29605-4266
Phone (864) 522-5220

1005 Grove Rd
Greenville, SC 29605-4630
Phone (864) 455-6900

109 Fleetwood Dr
Easley, SC 29640-2019

175 Patewood Dr
Greenville, SC 29615-3570
Phone (864) 797-1403

200 Fleetwood Dr
Easley, SC 29640-2022
Phone (864) 442-7618

200 Patewood Dr
Suite B480
Greenville, SC 29615-6327
Phone (864) 454-4570

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455

300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 797-6220

300 E McBee Ave FL
Suite 4
Greenville, SC 29601-2842

701 Grove Rd
Greenville, SC 29605-4210

717 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400

719 A SE Main St
Simpsonville, SC 29681-3237
Phone (864) 967-9000

719 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400

741 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-8420

830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455

905 Verdae Blvd
Greenville, SC 29607-4098

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Aug 6, 2007 Accepting new patients
Greenville Health System CurrentSince Jan 27, 2015 Accepting new patients
Prisma Health University Medical Group CurrentSince Dec 13, 2010 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Anmed Health CurrentSince Aug 6, 2007 Accepting new patients
Anmed Health CurrentSince Dec 1, 2011 Accepting new patients
Anmed Health Current Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
Arrhythmia Consultants P.a. Clinical Cardiac Electrophysiology PastSince Aug 1, 2007 Accepting new patients
Arrhythmia Consultants, P.a. Clinical Cardiac Electrophysiology Past Accepting new patients

Locations

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 2400
Anderson, SC 29621
Phone (864) 455-6180

101 Chapman Hill Rd
Clemson, SC 29631
Phone (864) 653-4071

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

109 Fleetwood Dr
#B
Easley, SC 29640
Phone (864) 522-3970

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

712 Grove Rd
Greenville, SC 29605
Phone (864) 271-1444

1005 Grove Rd
Greenville, SC 29605
Phone (864) 235-7665

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

877 W Faris Rd
Ste B
Greenville, SC 29605
Phone (864) 522-6225

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

727 SE Main St
Ste 100
Simpsonville, SC 29681
Phone (864) 454-6520

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: jmanfredi5529@direct.ghs.myhfn.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 47

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1053362269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054630",
            "telephone_number": "864-455-6900",
            "fax_number": "864-255-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDI",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "29936",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "29936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299368",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2315",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1453",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29936",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2312",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmanfredi5529@direct.ghs.myhfn.org",
            "affiliation": "N",
            "endpointDescription": "jmanfredi5529@direct.ghs.myhfn.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jmanfredi5529@direct.ghs.myhfn.org",
            "address_1": "1005 Grove Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.