Organization Active NPI

Piedmont Arthritis Clinic PA

  • Rheumatology Physician
  • Greenville, SC
National Provider Identifier
1124199773
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PIEDMONT ARTHRITIS CLINIC PA
Practice address
50 International Dr Ste 325
Greenville, SC 29615-4808
Phone
(864) 235-8396
Fax
(864) 271-4092
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Nancy Jean Hickey Ellis
Title
Practice Administrator
Phone
(864) 527-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

50 International Dr Ste 325
Greenville, SC 29615-4808

Mailing address

50 International Dr Ste 325
Greenville, SC 29615-4808
Phone (864) 235-8396

Other identifiers 1

IdentifierTypeStateIssuer
PA3102MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000089 SC Part B Supplier - Clinic/Group Practice 7719887223 Receives reassigned benefits from 11 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

3 Saint Francis Dr
Ste 400
Greenville, SC 29601
Phone (864) 235-8396

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICJAA

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1124199773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 INTERNATIONAL DR STE 325",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154808",
            "telephone_number": "864-235-8396",
            "fax_number": "864-527-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 INTERNATIONAL DR STE 325",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154808",
            "telephone_number": "864-235-8396",
            "fax_number": "864-271-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ARTHRITIS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JEAN HICKEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-527-2330"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA3102",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.