NPIMap

Individual provider Active NPI

Zachary Wolfe Cousins, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1073284154
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.25351 Issued in SC
Practice address
200 Patewood Dr Ste B460
Greenville, SC 29615-6326
Phone
(864) 454-2226
Fax
(864) 454-2223
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.25351 SC Primary

Addresses

Primary practice location

200 Patewood Dr Ste B460
Greenville, SC 29615-6326

Mailing address

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

Other practice location 1

115 Beattie Park Rd
Piedmont, SC 29673-1410
Phone (864) 845-3331

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
I20220407000445 SC Practitioner - Nurse Practitioner 9830585405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Patewood Dr
Suite B460
Greenville, SC 29615-6326
Phone (864) 454-2226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.25351SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 5, 2023 Accepting new patients
Piedmont Family Practice LLC CurrentSince Mar 11, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 5, 2023 Accepting new patients

Locations

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

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

200 Patewood Dr
Ste B200
Greenville, SC 29615
Phone (864) 454-2226

200 Patewood Dr
Ste B460
Greenville, SC 29615
Phone (864) 454-2226

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

115 Beattie Park Rd
Piedmont, SC 29673
Phone (864) 845-3331

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17492/brand/1/csg/1/fhir/r4
  • Direct secure messaging: zcousins651317@direct.ghs.myhfn.org

Organizations & group practices 3

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 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1073284154",
    "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": "200 PATEWOOD DR STE B460",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156326",
            "telephone_number": "864-454-2226",
            "fax_number": "864-454-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Beattie Park Rd",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "SC",
            "postal_code": "296731410",
            "country_code": "US",
            "telephone_number": "864-845-3331",
            "fax_number": "864-845-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "ZACHARY",
        "middle_name": "WOLFE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.25351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.