Individual provider Active NPI

Michael Lloyd Peters, MD

  • Family Medicine Physician
  • Greer, SC
National Provider Identifier
1386902286
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
349251 Issued in SC
Practice address
398 The Pkwy
Mountain View Family Medicine
Greer, SC 29650-4569
Phone
(864) 877-9577
Fax
(864) 877-9073
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 349251 SC Primary

Addresses

Primary practice location

398 The Pkwy
Mountain View Family Medicine
Greer, SC 29650-4569

Mailing address

118 Springhall Dr
Ste a
Goose Creek, SC 29445-5360
Phone (864) 915-0468

Other identifiers 1

IdentifierTypeStateIssuer
349251MedicaidSC

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
I20150106002154 SC Practitioner - Family Practice 4082851670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

305 Tanner Rd
Greenville, SC 29607-5923
Phone (864) 627-1220

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
349251SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 27, 2015 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Jul 27, 2015 Accepting new patients
St. Francis Physician Services Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Healthy4Life Integrated Medicine, Inc CurrentSince Apr 1, 2020 Accepting new patients
Kathleen Grabowski PastSince Apr 1, 2020 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
Spartanburg Medical Center Family Medicine PastSince Oct 13, 2014 Accepting new patients

Locations

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

118 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 376-3112

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

307 Tanner Rd
Greenville, SC 29607
Phone (864) 286-9050

398 The Pkwy
Greer, SC 29650
Phone (864) 877-9577

16 Accountants Cir
Seneca, SC 29678
Phone (864) 882-5191

1409 W Georgia Rd
Ste B
Simpsonville, SC 29680
Phone (864) 454-5000

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 and National Provider Directory roles.

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1386902286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SPRINGHALL DR",
            "address_2": "STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455360",
            "telephone_number": "864-915-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 THE PKWY",
            "address_2": "MOUNTAIN VIEW FAMILY MEDICINE",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504569",
            "telephone_number": "864-877-9577",
            "fax_number": "864-877-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MICHAEL",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "349251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349251",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.