Organization Active NPI

St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1295769438
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Doing business as
St Francis Physician Services Inc
Practice address
1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-5762
Phone
(864) 605-3721
Fax
(864) 605-3587
NPI assigned
Jul 11, 2006
Last updated
Aug 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Mr. Wilbur R Gay III
Title
Vice President of Finance-BSMG
Phone
(864) 605-3762

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SC Primary
Internal Medicine Physician 207R00000X SC
Obstetrics & Gynecology Physician 207V00000X SC
Orthopaedic Surgery Physician 207X00000X SC
Otolaryngology Physician 207Y00000X SC
Plastic Surgery Physician 208200000X SC
Surgery Physician 208600000X SC
Urology Physician 208800000X SC
Colon & Rectal Surgery Physician 208C00000X SC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X SC

Addresses

Primary practice location

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-5762

Mailing address

PO Box 743294
Atlanta, GA 30374-3294

Other names 1

  • St Francis Physician Services Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000259 SC Part B Supplier - Clinic/Group Practice 6608826821 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC…

National Provider Directory

National Provider Directory

Locations

301 E Greenville St
Ste S
Anderson, SC 29621
Phone (864) 224-5689

10 Enterprise Blvd
Ste 111
Greenville, SC 29615
Phone (864) 365-0200

10 Enterprise Blvd
Ste 112
Greenville, SC 29615
Phone (864) 297-4093

1100 Rutherford Rd
Ste B
Greenville, SC 29609
Phone (864) 365-0255

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

131 Commonwealth Dr
Ste 350
Greenville, SC 29615
Phone (864) 675-4730

2 Innovation Dr
Ste 120
Greenville, SC 29607
Phone (864) 271-9773

2 Innovation Dr
Ste 170
Greenville, SC 29607

2 Innovation Dr
Ste 220
Greenville, SC 29607

213 Mills Ave
Greenville, SC 29605
Phone (864) 271-9780

3 Saint Francis Dr
Greenville, SC 29601
Phone (864) 233-8063

3 Saint Francis Dr
Ste 490
Greenville, SC 29601
Phone (864) 220-4263

317 Saint Francis Dr
Greenville, SC 29601
Phone (803) 987-7000

317 Saint Francis Dr
Ste 220B
Greenville, SC 29601
Phone (864) 255-1304

317 Saint Francis Dr
Ste 360
Greenville, SC 29601
Phone (864) 232-8118

52 Bear Dr
Greenville, SC 29605
Phone (864) 295-2131

3115D Brushy Creek Rd
Greer, SC 29650
Phone (864) 877-4221

3315 Brushy Creek Rd
#D
Greer, SC 29650

418 The Pkwy
Greer, SC 29650

11 Jenkins St
Mauldin, SC 29662
Phone (846) 228-1941

105 Fairview Pointe Dr
Simpsonville, SC 29681

879 NE Main St
Simpsonville, SC 29681
Phone (864) 228-6140

Practitioners & affiliated clinicians

Practitioners 542

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 542

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1295769438",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKFIELD BLVD",
            "address_2": "SUITE 400B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075762",
            "telephone_number": "864-605-3721",
            "fax_number": "864-605-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE-BSMG",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Physician Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.