Active NPI
Stephen L Garrell, MD
- Nephrology Physician
- Spartanburg, SC
National Provider Identifier
1184604605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- SC8235
- Practice address
- 322 N Pine St
Spartanburg, SC 29302-1631 - Phone
- (864) 582-5099
- Fax
- (864) 327-1098
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | SC8235 | SC | Primary |
Addresses
Primary practice location
322 N Pine St
Spartanburg, SC 29302-1631
Mailing address
322 N Pine St
Spartanburg, SC 29302-1631
Phone (864) 582-5099
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00314309 | Other | SC | RAIL ROAD MEDICARE |
| 082350 | Medicaid | SC | |
| 20053686 | Other | SC | SELECT HEALTH |
| 7905622 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8235 | SC | MD | Dentist |
| SC8235 | SC | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1184604605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021631",
"telephone_number": "864-582-5099",
"fax_number": "864-327-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021631",
"telephone_number": "864-582-5099",
"fax_number": "864-327-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRELL",
"first_name": "STEPHEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "SC8235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00314309",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082350",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "20053686",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7905622",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.