Active NPI
Michael Joseph Geoffrion, NP
- Nurse Practitioner
- Indian Land, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22162
- Practice address
- 8384 Charlotte Hwy
Indian Land, SC 29707-6532 - Phone
- (803) 547-2426
- NPI assigned
- Nov 8, 2018
- Last updated
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22162 | SC | |
| Nurse Practitioner | 363L00000X | 22162 | SC | Primary |
Addresses
Primary practice location
8384 Charlotte Hwy
Indian Land, SC 29707-6532
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Other practice location 1
2707 Celanese Rd
Rock Hill, SC 29732-9406
Phone (803) 366-4157
Other practice location 2
515 River Crossing Dr Ste 180
Fort Mill, SC 29715-7901
Phone (803) 396-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 Rivercrossing Dr
Suite 180
Fort Mill, SC 29715-7901
Phone (803) 578-2800
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.26 of 100
- Quality
- 84.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Piedmont Physician Network LLC | Nurse Practitioner | Current | Accepting new patients |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Novant Health Urgent Cares LLC | Current | Accepting new patients |
Locations
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541
8384 Charlotte Hwy
Indian Land, SC 29707
Phone (803) 547-2426
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950
1190 Filbert Hwy
#110
York, SC 29745
Phone (803) 628-0004
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
- michael.geoffrion.1@14929.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
Nurse Practitioner
-
dba MUSC Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
dba Novant Health Urgent Care
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
-
dba MUSC Health Spine Physical Medicine & Rehabilitation - Mt Pleasant
- Physical Medicine & Rehabilitation Physician
- Mount Pleasant, SC
- NPI 1639409808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1437627320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8384 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297076532",
"telephone_number": "803-547-2426"
}
],
"practiceLocations": [
{
"address_1": "2707 Celanese Rd",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297329406",
"country_code": "US",
"telephone_number": "803-366-4157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 River Crossing Dr Ste 180",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297157901",
"country_code": "US",
"telephone_number": "803-396-8100",
"fax_number": "803-396-8040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEOFFRION",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-08",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22162",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "22162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.