Individual provider Active NPI

Theresa Greene Knoepp, M.D.

  • Dermatology Physician
  • Anderson, SC
National Provider Identifier
1073562690
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20003 Issued in SC
Practice address
1501 N Main St
Anderson, SC 29621-4734
Phone
(864) 716-0063
Fax
(864) 716-0073
NPI assigned
May 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20003 SC Primary

Addresses

Primary practice location

1501 N Main St
Anderson, SC 29621-4734

Mailing address

1501 N Main St
Anderson, SC 29621-4734
Phone (864) 716-0063

Other identifiers 2

IdentifierTypeStateIssuer
20003OtherSCMEDICAL LICENSE
200035MedicaidSC

Other names 1

  • Dr. Theresa Greene Knoepp Professional name

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
I20031110000296 SC Practitioner - Dermatology 4587577218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Carolina School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Dermatology and Skin Surgery CenterGroup PAC ID 0244143964, 5 clinicians

Practice addresses (Care Compare)

1501 N Main St
Anderson, SC 29621-4734
Phone 8647160063864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision129
Removal of skin lesions2695
Removal of nail tissue1-10
Removal or shaving of skin growth30
Skin biopsy388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20003SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Dermatology and Skin Surgery Center Dermatology CurrentSince Nov 2, 2002 Accepting new patients
Anderson Dermatology and Skin Surgery Center Dermatology PastSince Nov 14, 2002 Accepting new patients

Locations

1501 N Main St
Anderson, SC 29621
Phone (864) 367-4544

101 Richard St
Easley, SC 29640
Phone (864) 442-8000

112 John St
Ste 105
Easley, SC 29640
Phone (864) 855-2052

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/14194f57-1cf1-4d77-801e-4659b5b99d4c/

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073562690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214734",
            "telephone_number": "864-716-0063",
            "fax_number": "864-716-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214734",
            "telephone_number": "864-716-0063",
            "fax_number": "864-716-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOEPP",
        "first_name": "THERESA",
        "middle_name": "GREENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "20003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20003",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200035",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "KNOEPP",
            "middle_name": "GREENE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.