Active NPI
Elizabeth Ann Zimmerman, M.D.
- Family Medicine Physician
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL31096
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL31096 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Physician Network LLC | Family Medicine | Current | 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
- elizabeth.zimmerman.1@14929.direct.athenahealth.com
- 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.
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
dba CenterWell Home Health
- Home Health Agency
- Gaffney, SC
- NPI 1891724555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.