Active NPI
Leah Avary Somerville, DO
- Hospitalist Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 83157
- Practice address
- 175 Patewood Dr
Greenville, SC 29615-3570 - Phone
- (864) 797-1403
- Fax
- (864) 455-3884
- NPI assigned
- May 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL83157 | SC | |
| Hospitalist Physician | 208M00000X | 83157 | SC | Primary |
Addresses
Primary practice location
175 Patewood Dr
Greenville, SC 29615-3570
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7895
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354
Interoperability endpoints
- lsomerville288952@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1124574223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1366065971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 PATEWOOD DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153570",
"telephone_number": "864-797-1403",
"fax_number": "864-455-3884"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-7895",
"fax_number": "864-455-7807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "LEAH",
"middle_name": "AVARY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL83157",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "83157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.