Individual provider Active NPI

Michael E Zeager, MD

  • Family Medicine Physician
  • Taylors, SC
National Provider Identifier
1356398424
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
098860 Issued in SC
Practice address
3551A Rutherford Rd
Taylors, SC 29687-2195
Phone
(864) 268-2333
Fax
(864) 268-5554
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 098860 SC Primary

Addresses

Primary practice location

3551A Rutherford Rd
Taylors, SC 29687-2195

Mailing address

3551A Rutherford Rd
Taylors, SC 29687-2195
Phone (864) 268-2333

Other identifiers 1

IdentifierTypeStateIssuer
GP2463MedicaidSC

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
I20100813000260 SC Practitioner - Family Practice 7911962857 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
098860SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2018 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

3551A Rutherford Rd
Taylors, SC 29687
Phone (864) 268-2333

Organizations & group practices 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1356398424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551A RUTHERFORD RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872195",
            "telephone_number": "864-268-2333",
            "fax_number": "864-268-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551A RUTHERFORD RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872195",
            "telephone_number": "864-268-2333",
            "fax_number": "864-268-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEAGER",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "098860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2463",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors, SC

Sources for this page

Verify at the official NPI Registry.