Individual provider Active NPI

Gregory Nelson Hobbs, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1336107473
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1282 Issued in SC
Practice address
2126 N Highway 81
Anderson, SC 29621-1532
Phone
(864) 226-2660
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1282 SC Primary

Addresses

Primary practice location

2126 N Highway 81
Anderson, SC 29621-1532

Mailing address

2126 N Highway 81
Anderson, SC 29621-1532
Phone (864) 226-2660

Other identifiers 1

IdentifierTypeStateIssuer
NP0352MedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824001103 SC Practitioner - Nurse Practitioner 0749174449 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1282SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keowee Primary Care & Internal Medicine PC CurrentSince Jun 1, 2016 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Occupational Alternative and Rehabilitative Services, PC Past Accepting new patients
Pain Medicine Associates, P.C. Past Accepting new patients
Southern Rehabilitation Group, PLLC Past Accepting new patients
Pain Medicine Associates, P.C. Past Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

2126 Highway 81 N
Anderson, SC 29621
Phone (864) 226-2660

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

832 Powdersville Rd
Easley, SC 29642
Phone (864) 859-1914

109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1336107473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-226-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-226-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "GREGORY",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0352",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.