NPIMap

Individual provider Active NPI

Venugopal Govindappa, MD

  • Nephrology Physician
  • Florence, SC
National Provider Identifier
1316983729
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
31495 Issued in SC
Practice address
255 Warley St
Florence, SC 29501-4444
Phone
(843) 669-6694
Fax
(843) 669-2500
NPI assigned
Jun 22, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 31495 SC Primary

Addresses

Primary practice location

255 Warley St
Florence, SC 29501-4444

Mailing address

255 Warley St
Florence, SC 29501-4444
Phone (843) 669-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000391 SC Practitioner - Internal MedicinePractitioner - Nephrology 9537171988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pee Dee Nephrology LLPGroup PAC ID 6507853629, 9 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694

701 Medical Park Dr
Suite 208B
Hartsville, SC 29550-4778
Phone (843) 383-5191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31495SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pee Dee Nephrology LLP Nephrology CurrentSince Jul 1, 2009 Accepting new patients
Hartsville Medical Group LLC Nephrology CurrentSince Nov 5, 2012 Accepting new patients
Advanced Nutrition Consultants Inc CurrentSince Apr 2, 2014 Accepting new patients
Regency Hospital Company of South Carolina, LLC Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

1100 E Cheves St
Florence, SC 29506
Phone (843) 669-6694

255 Warley St
Florence, SC 29501
Phone (843) 669-6694

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

701 Medical Park Dr
Ste 208B
Hartsville, SC 29550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: venugopal.govindappa.1@8689.direct.athenahealth.com
  • Direct secure messaging: vgovindappa24140@direct.acumenmd.com
  • Direct secure messaging: vgovindappa49630@directmcleodehealth.org

Organizations & group practices 6

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 8

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1316983729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014444",
            "telephone_number": "843-669-6694",
            "fax_number": "843-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014444",
            "telephone_number": "843-669-6694",
            "fax_number": "843-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVINDAPPA",
        "first_name": "VENUGOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "31495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.