Individual provider Active NPI

Mary A Gould, FNP-BC

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1265804041
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22742 Issued in SC
Practice address
2000 E Greenville St Ste 1100
Anderson, SC 29621-1714
Phone
(864) 512-5667
Fax
(864) 512-6746
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN201903 GA
Family Nurse Practitioner 363LF0000X 22742 SC Primary

Addresses

Primary practice location

2000 E Greenville St Ste 1100
Anderson, SC 29621-1714

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5667

Other practice location 1

2061 Highway 52
Moncks Corner, SC 29461-5017
Phone (843) 577-6791

Other practice location 2

897 Von Kolnitz Rd Ste 104
MT Pleasant, SC 29464-3630
Phone (843) 849-7443

Other practice location 3

125 Doughty St Ste 200
Charleston, SC 29403-5747
Phone (843) 577-6791

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031000278 SC Practitioner - Nurse Practitioner 4880904044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Jul 12, 2021 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Jul 12, 2021 Accepting new patients
Anmed Health Past Accepting new patients

Locations

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 1100
Anderson, SC 29621
Phone (864) 225-5667

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: mgould44713@direct.anmedhealth.net
  • Direct secure messaging: mary.gould@mrmc.gadirect.net
  • Direct secure messaging: magould@directaddress.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1265804041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-5667",
            "fax_number": "864-512-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 1100",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211714",
            "telephone_number": "864-512-5667",
            "fax_number": "864-512-6746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2061 Highway 52",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294615017",
            "country_code": "US",
            "telephone_number": "843-577-6791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "897 Von Kolnitz Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294643630",
            "country_code": "US",
            "telephone_number": "843-849-7443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Doughty St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035747",
            "country_code": "US",
            "telephone_number": "843-577-6791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.