NPIMap

Individual provider Active NPI

Henry Igdal, M.D.

  • General Practice Physician
  • Easley, SC
National Provider Identifier
1346259280
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
38948 Issued in SC
Practice address
1850 Crestview Rd
Easley, SC 29642
Phone
(828) 277-4810
NPI assigned
Aug 7, 2006
Last updated
May 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38948 SC
Internal Medicine Physician 207R00000X 35141 NC
General Practice Physician 208D00000X 38948 SC Primary

Addresses

Primary practice location

1850 Crestview Rd
Easley, SC 29642

Mailing address

90 Southside Ave Ste 350
Asheville, NC 28801-4184

Other identifiers 1

IdentifierTypeStateIssuer
NC2564MedicaidSC

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
I20151207001747 SC Practitioner - Internal Medicine 7113963604 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38948SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd South Carolina P.C. CurrentSince Nov 6, 2023 Accepting new patients
Psgsc MSSP, P.C. CurrentSince Jul 24, 2025 Accepting new patients
Physicians Services Group, P.C. CurrentSince Apr 18, 2018 Accepting new patients
Hickory Internal Medicine, Hypertension & Renal Associates Past Accepting new patients
Fryecare Physicians , LLC Internal Medicine Past Accepting new patients
Charleston Geriatrics and Post - Acute Care LLC Past Accepting new patients
Fryecare Physicians , LLC Past Accepting new patients
Inpatient Consultants of North Carolina, PC Internal Medicine Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583

8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8984

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Iva Post AcuteIva, SC, CCN 425317 Skilled nursing facility Contracted Managing Employee Sep 1, 2021
Piedmont Post AcutePiedmont, SC, CCN 425314 Skilled nursing facility Contracted Managing Employee Sep 21, 2021
Simpsonville Post AcuteSimpsonville, SC, CCN 425112 Skilled nursing facility Contracted Managing Employee Sep 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1346259280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE STE 350",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642",
            "telephone_number": "828-277-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGDAL",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "38948",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35141",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "38948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2564",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.