NPIMap

Individual provider Active NPI

Alan Randall Anderson, M.D.

  • Pediatric Hematology & Oncology Physician
  • Greenville, SC
National Provider Identifier
1124175146
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
24783 Issued in SC
Practice address
900 W Faris Rd
2ND Floor
Greenville, SC 29605-4255
Phone
(864) 455-8898
Fax
(864) 241-9237
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 055084 GA
Pediatric Hematology & Oncology Physician 2080P0207X 24783 SC Primary

Addresses

Primary practice location

900 W Faris Rd
2ND Floor
Greenville, SC 29605-4255

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8611

Other practice location 1

3 Butternut Dr Ste B
Greenville, SC 29605-4653
Phone (864) 241-7272

Other identifiers 2

IdentifierTypeStateIssuer
576007863054OtherSCBCBS
247833MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aanderson171485@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000059 SC Practitioner - Pediatric Medicine 3375637457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of South Carolina School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical Group 2,467 clinicians

Practice addresses (Care Compare)

900 W Faris Rd
Suite 2
Greenville, SC 29605-4255
Phone (864) 455-8898

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055084GAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jun 2, 2025 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jun 2, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

3010 Farrow Rd
Ste 300A
Columbia, SC 29203
Phone (803) 434-4388

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

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

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

3 Butternut Dr
Ste B
Greenville, SC 29605
Phone (864) 241-7272

900 W Faris Rd
Greenville, SC 29605
Phone (864) 455-6743

900 W Faris Rd
#2
Greenville, SC 29605
Phone (864) 455-8898

300 E McBee Ave
Ste 401
Greenville, SC 29601

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

900 W Faris Rd
Fl 2
Greenville, SC 29605
Phone (864) 455-8898

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

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

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

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

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: aanderson171485@direct.ghs.myhfn.org

Organizations & group practices 10

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1124175146",
    "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": "864-522-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W FARIS RD",
            "address_2": "2ND FLOOR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054255",
            "telephone_number": "864-455-8898",
            "fax_number": "864-241-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Butternut Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054653",
            "country_code": "US",
            "telephone_number": "864-241-7272",
            "fax_number": "864-672-7852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALAN",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "GA",
            "license": "055084",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "SC",
            "license": "24783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "576007863054",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247833",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aanderson171485@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aanderson171485@direct.ghs.myhfn.org",
            "address_1": "900 W Faris Rd",
            "address_2": "2nd Floor",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.