NPIMap

Individual provider Active NPI

Olivia Grace Gabriel, PA-C

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1396457792
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1199914 Issued in SC
Practice address
131 Commonwealth Dr Ste 390
Greenville, SC 29615-4837
Phone
(864) 335-7555
NPI assigned
Dec 16, 2022
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1199914 SC Primary

Addresses

Primary practice location

131 Commonwealth Dr Ste 390
Greenville, SC 29615-4837

Mailing address

131 Commonwealth Dr Ste 390
Greenville, SC 29615-4837

Other practice location 1

317 Saint Francis Dr Ste 330
Greenville, SC 29601-3914
Phone (864) 335-7555

Other practice location 2

2310 Wade Hampton Blvd
Greenville, SC 29615-1043
Phone (864) 292-5915

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
I20230531002923 SC Practitioner - Physician Assistant 2163889445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

131 Commonwealth Dr
Suite 390
Greenville, SC 29615-4837
Phone (864) 335-7555

317 Saint Francis Dr
Greenville, SC 29601-3914

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1199914SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Jul 16, 2023 Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

131 Commonwealth Dr
Ste 390
Greenville, SC 29615
Phone (864) 335-7555

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

2310 Wade Hampton Blvd
Greenville, SC 29615
Phone (864) 292-5915

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

317 Saint Francis Dr
Ste 330
Greenville, SC 29601
Phone (864) 232-1636

Interoperability endpoints

  • Direct secure messaging: ogabriel2155528@direct.bsmhealth.org
  • Direct secure messaging: ogabriel2774496@direct.bsmhealth.org
  • Direct secure messaging: ogabriel56430@direct.anmedhealth.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1396457792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR STE 390",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR STE 390",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154837",
            "telephone_number": "864-335-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Saint Francis Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013914",
            "country_code": "US",
            "telephone_number": "864-335-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296151043",
            "country_code": "US",
            "telephone_number": "864-292-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1199914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.