Individual provider Active NPI

David Kirk Depriest, DO

  • Surgery Physician
  • Greenville, SC
National Provider Identifier
1285633313
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4145 Issued in OK
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200025290AMedicaidOK
007922MedicaidSC
SC85217628OtherSCMEDICARE PIN
200025290BOtherOKMEDICAID OSU AJ
P01319268OtherOKRAILROAD

Other names 1

  • D Kirk Depriest Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808002749 SC Practitioner - General Surgery 3274522131 Reassigns benefits to 1 organization

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
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

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 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Mastectomy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4145OKMDMental Health Counselor
792SCMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Surgery CurrentSince Nov 1, 2021 Accepting new patients
Spartanburg Medical Center Surgery Current Accepting new patients
Spartanburg Medical Center CurrentSince Nov 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Sources for this page

Verify at the official NPI Registry.