Pauline E Bellos, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

297 Issued in SC

Practice address

111 Doctors Dr
Greenville, SC 29605-5608

Phone

(864) 797-7100

Fax

(864) 797-7133

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Greenville Health System

  • General Acute Care Hospital
  • Simpsonville, SC
  • NPI 1679992838
  NPD (past)
• Greenville Kidney Care LLC

  • Nephrology Physician
  • Greenville, SC
  • NPI 1659654002
  NPD (past)
• Greenville Kidney Center, PA

  • Nephrology Physician
  • Greenville, SC
  • NPI 1609987825
  NPD (past)
• Greenville Proaxis Therapy, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1275545907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-797-7100",
            "fax_number": "864-797-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-797-7100",
            "fax_number": "864-797-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOS",
        "first_name": "PAULINE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0604PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bellanne Family Home Care LLC
• Lawrence Joseph Belle, LISW-CP
• Shawna Diann Bellew, MD
• James Allan Belling, CRNA
• Mary Allison Bellomo, MS, CGC
• Brooke Bellows
• Paula L Belmar, MD
• Beloved Birth Midwifery
• George Belton, LISW-CP
• Gerald Beltran

• Medical Physician Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.