Active NPI
David Kirk Depriest, DO
- Surgery Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4145
- Practice address
- 135 Commonwealth Dr., Ste. 210
Greenville, SC 29615-4815 - Phone
- (864) 675-4815
- Fax
- (864) 675-4780
- NPI assigned
- Jul 20, 2005
- Last updated
- Dec 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 792 | SC | |
| Surgery Physician | 208600000X | 4145 | OK | Primary |
Addresses
Primary practice location
135 Commonwealth Dr., Ste. 210
Greenville, SC 29615-4815
Mailing address
PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 675-4815
Other practice location 1
2755 S Highway 14 Ste 2200
Greer, SC 29650-4936
Phone (864) 849-9555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200025290A | Medicaid | OK | |
| 007922 | Medicaid | SC | |
| SC85217628 | Other | SC | MEDICARE PIN |
| 200025290B | Other | OK | MEDICAID OSU AJ |
| P01319268 | Other | OK | RAILROAD |
Other names 1
- D Kirk Depriest
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddepriest232107@direct-srhs.et0939.epichosted.com | Direct |
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
- General Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2755 S Hwy 14
Suite 2200
Greer, SC 29650-4936
Phone (864) 849-9555
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Mastectomy | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4145 | OK | MD | Mental Health Counselor |
| 792 | SC | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Surgery | Current | Accepting new patients |
| Spartanburg Medical Center | Surgery | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| St Francis Physician Services Inc | Surgery | Past | Accepting new patients |
| Spartanburg Medical Center | Past | Accepting new patients |
Locations
2755 S Highway 14
Ste 2200
Greer, SC 29650
Phone (864) 849-9555
100 E Wood St
Spartanburg, SC 29303
Phone (864) 560-7070
1690 Skylyn Dr
Ste 350
Spartanburg, SC 29307
Phone (864) 577-1600
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
Interoperability endpoints
- ddepriest232107@direct-srhs.et0939.epichosted.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical Group of the Carolinas-Vascular Access Surgery-Pelham
- Surgery Physician
- Greer, SC
- NPI 1760114664
-
dba Medical Group of the Carolinas - Division of Surgery - Pelham
- Surgery Physician
- Greer, SC
- NPI 1235274267
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
dba Medical Group of the Carolinas - Piedmont Women's Healthcare
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PMC Center for Urology Pelham
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
Hospital
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1285633313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743294",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743294",
"telephone_number": "864-675-4815",
"fax_number": "864-675-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 COMMONWEALTH DR., STE. 210",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154815",
"telephone_number": "864-675-4815",
"fax_number": "864-675-4780"
}
],
"practiceLocations": [
{
"address_1": "2755 S Highway 14 Ste 2200",
"address_purpose": "LOCATION",
"city": "Greer",
"state": "SC",
"postal_code": "296504936",
"country_code": "US",
"telephone_number": "864-849-9555",
"fax_number": "864-849-9556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEPRIEST",
"first_name": "DAVID",
"middle_name": "KIRK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "792",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "4145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200025290A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007922",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SC85217628",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OSU AJ",
"identifier": "200025290B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01319268",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddepriest232107@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ddepriest232107@direct-srhs.et0939.epichosted.com",
"address_1": "2755 S Highway 14 Ste 2200",
"city": "Greer",
"state": "SC",
"country_code": "US",
"postal_code": "296504936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "D",
"last_name": "DEPRIEST",
"middle_name": "KIRK",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greenville, SC
- Dentistry for Children of South Carolina PC
- Dentnow Corporation Greenville (DentNow Greenville)
- Mary Elizabeth Depew, OT
- Warren Keith Deponti, D.O.
- Timothy Bradshaw Depp, MD
- Dept of Veterans Affairs (Gopc)
- Jeffrey Michael Derbas, M.D.
- Quade'Ja Derello
- Dermatology Specialists LLC
- Sarah Ashley Derocha, APN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.