Matthew Dean Anderson, PA
Individual provider Active NPI Medical Physician Assistant · Greenwood, SC
NPI 1154933810 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1154933810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA3606 (SC)
- Practice address
- 313 Main St Ste a
Greenwood, SC 29646-2757 - Phone
- (864) 229-4446
- NPI assigned
- Aug 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Urgent Care of South Carolina PC
Practice addresses (Care Compare)
115 State Park Rd
Greenville, SC 29609-2914
Phone (864) 438-3500
122 S Main St
Mauldin, SC 29662-2554
Phone (864) 284-4420
1298 Woodruff Rd
FL 4
Greenville, SC 29607-5754
Phone (864) 236-4700
1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609
1501 Wo Ezell Blvd
Spartanburg, SC 29301-2665
Phone (864) 719-4220
1615 Sandifer Blvd
Seneca, SC 29678-0905
Phone (864) 920-7910
3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340
3322 N Main St
Anderson, SC 29621-4108
Phone (864) 715-3309
6043 Calhoun Memorial Hwy
Easley, SC 29640-3811
Phone (803) 794-6780
718 Fairview Rd
Simpsonville, SC 29680-7117
Phone (864) 794-6555
913 E Main St
Laurens, SC 29360-3601
Phone (864) 214-2800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201222001438 | SC | Practitioner - Physician Assistant | 5890107551 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3606 | SC | MD | Occupational Therapist |
| PA3606 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Health Centers, Inc. | Current | Accepting new patients | |
| Carolina Health Centers, Inc. | Current | Accepting new patients | |
| Carolina Health Centers, Inc. | Current | Accepting new patients | |
| Carolina Health Centers, Inc. | Current |
Accepting new patients | |
| Carolina Health Centers, Inc. | Current |
Accepting new patients | |
| Carolina Health Centers, Inc. | Current | Accepting new patients |
Locations
535 Jackson St
Calhoun Falls, SC 29628
Phone (864) 418-8578
313 Main St
#A
Greenwood, SC 29646
Phone (864) 229-4446
313 Main St
Ste B
Greenwood, SC 29646
Phone (864) 229-4446
313 Main St
Ste A
Greenwood, SC 29646
Phone (864) 229-4446
313 Main St
#B
Greenwood, SC 29646
1319 S Main St
Mc Cormick, SC 29835
Phone (864) 852-3336
219 Greenwood Hwy
Saluda, SC 29138
Phone (864) 445-2181
93 S Greenwood Ave
Ware Shoals, SC 29692
Phone (864) 456-7436
Interoperability endpoints
- manderson826371@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3606 | SC | |
| Medical Physician Assistant | 363AM0700X | PA3606 | SC | Yes |
Addresses
Primary practice location
313 Main St Ste a
Greenwood, SC 29646-2757
Mailing address
313 Main St Ste B
Greenwood, SC 29646-2757
Phone (864) 229-4446
Other practice location 1
1298 Woodruff Rd
Greenville, SC 29607-5754
Phone (864) 236-4700
Other practice location 2
905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Phone (864) 990-1910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102029439 | Other | SC | DRIVERS LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | EPIC | Health Information Exchange (HIE) |
Other providers in Greenwood, SC
- Christa Armfield Anderson
- James S Anderson
- Justin J Anderson
- Kelly L Anderson
- Mary Parks Anderson
- Sally D Anderson
- Tashara Anderson
- Steven M Andreasen
- Dale Andrews Jr.
- Anesthesiology of Greenwood PA
All providers in Greenwood, SC · Medical Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.