Active NPI
Geetika Dembla, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 204062
- Practice address
- 2700 E Phillips Rd
Greer, SC 29650-4815 - Phone
- (864) 235-2335
- NPI assigned
- Jun 14, 2007
- Last updated
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 204062 | LA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 204062 | LA | Primary |
Addresses
Primary practice location
2700 E Phillips Rd
Greer, SC 29650-4815
Mailing address
2700 E Phillips Rd
Greer, SC 29650-4815
Phone (864) 235-2335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126857 | Medicaid | LA | |
| 4P643F600 | Other | LA | MEDICACRE - PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Mississippi School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204062 | LA | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients |
Locations
124 Mallard St
Greenville, SC 29601
Phone (864) 241-1040
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Greenville Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenville, SC
- NPI 1619995370
-
dba Greater Greenville Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenville, SC
- NPI 1013476787
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1164626875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E PHILLIPS RD",
"city": "GREER",
"state": "SC",
"postal_code": "296504815",
"telephone_number": "864-235-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E PHILLIPS RD",
"city": "GREER",
"state": "SC",
"postal_code": "296504815",
"telephone_number": "864-235-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBLA",
"first_name": "GEETIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "204062",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "LA",
"license": "204062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2126857",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICACRE - PTAN",
"identifier": "4P643F600",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
- Katie Kussow Deen
- Joshua Deese, PT, DPT
- Ronald G Degarmo, DO
- Nigel Patrick Delahunty, MD
- Leslie Carol Demars, M.A.CCC-SLP
- Mark A Demoss, MD
- Celia Seigler Deneen, M.ED.
- Kristin Marie Dennis, DPT
- Ashlee N. Denooy, L.P.T.
- Dental Professional of South Carolina, P.C. (Family Dentistry at Riverside Crossing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.