NPIMap

Individual provider Active NPI

Susanne Giana Bentley, DO

  • Addiction Medicine (Internal Medicine) Physician
  • Conway, SC
National Provider Identifier
1063905495
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
51979 Issued in SC
Practice address
100 Professional Park Dr
Conway, SC 29526-9260
Phone
(843) 234-0005
NPI assigned
Jun 11, 2018
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51979 SC
Addiction Medicine (Internal Medicine) Physician 207RA0401X 51979 SC Primary
Hospitalist Physician 208M00000X 51979 SC

Addresses

Primary practice location

100 Professional Park Dr
Conway, SC 29526-9260

Mailing address

100 Professional Park Dr
Conway, SC 29526-9260
Phone (843) 234-0005

Other practice location 1

701 Grove Rd Fl 5
Greenville, SC 29605-4210
Phone (864) 455-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002100 SC Practitioner - Internal Medicine 1557611027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careteam Plus IncGroup PAC ID 2961678289, 7 clinicians

Practice addresses (Care Compare)

100 Professional Park Dr
Conway, SC 29526-9260
Phone (843) 234-0005

701 Grove Rd
Suite 5
Greenville, SC 29605-4210
Phone (864) 455-4411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.69 of 100Reported as group
Quality
80.42
Promoting interoperability
100
Improvement activities
40
Cost
81.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51979SCMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County CurrentSince Aug 8, 2022 Accepting new patients
Careteam Plus, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients
Eskenazi Medical Group Inc Internal Medicine CurrentSince Sep 17, 2022 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Aug 8, 2022 Accepting new patients
Careteam Plus, Inc. Internal Medicine CurrentSince Sep 2, 2025 Accepting new patients
Careteam Plus, Inc. Past Accepting new patients
Careteam Plus, Inc. Past Accepting new patients

Locations

1112 Southeastern Ave
Indianapolis, IN 46202
Phone (317) 423-8909

1660 N Illinois St
Indianapolis, IN 46202
Phone (317) 880-2799

2505 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 554-5200

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

3840 N Sherman Dr
Indianapolis, IN 46226
Phone (317) 541-3400

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

6940 Michigan Rd
Ste 140
Indianapolis, IN 46268
Phone (317) 266-2901

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100

100 Professional Park Dr
Conway, SC 29526
Phone (843) 234-0005

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

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

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

701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411

701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411

Interoperability endpoints

  • Direct secure messaging: sbentley100496@direct.eskenazihealth.edu
  • Direct secure messaging: sbentley229297@direct.ghs.myhfn.org
  • Direct secure messaging: susanne.bentley.1@19266.direct.athenahealth.com

Organizations & group practices 8

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

Hospital & facility affiliations 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1063905495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269260",
            "telephone_number": "843-234-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269260",
            "telephone_number": "843-234-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "SUSANNE",
        "middle_name": "GIANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "51979",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "SC",
            "license": "51979",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "51979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.