Individual provider Active NPI

Elizabeth Ann Zimmerman, M.D.

  • Family Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1215199096
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL31096 Issued in SC
Practice address
515 Rivercrossing Dr Ste 180
Fort Mill, SC 29715-7900
Phone
(803) 547-7541
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL31096 SC Primary

Addresses

Primary practice location

515 Rivercrossing Dr Ste 180
Fort Mill, SC 29715-7900

Mailing address

408 Woodson CT
Spartanburg, SC 29303-1970

Other practice location 1

853 N Church St
Suite 510
Spartanburg, SC 29303-3098
Phone (864) 560-1558

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908002239 SC Practitioner - Family Practice 8426228065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

200 Herlong Ave S
Rock Hill, SC 29732-1182

515 Rivercrossing Dr
Suite 180
Fort Mill, SC 29715-7901
Phone (803) 578-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL31096SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Family Medicine CurrentSince Oct 23, 2017 Accepting new patients

Locations

515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

1795 Devinney Rd
York, SC 29745
Phone (803) 335-0780

Interoperability endpoints

  • Direct secure messaging: elizabeth.zimmerman.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215199096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WOODSON CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293031970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RIVERCROSSING DR STE 180",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157900",
            "telephone_number": "803-547-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 N Church St",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033098",
            "country_code": "US",
            "telephone_number": "864-560-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL31096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.