Individual provider Active NPI

Michael Joseph Geoffrion, NP

  • Nurse Practitioner
  • Indian Land, SC
National Provider Identifier
1437627320
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22162 Issued in SC
Practice address
8384 Charlotte Hwy
Indian Land, SC 29707-6532
Phone
(803) 547-2426
NPI assigned
Nov 8, 2018
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190115001819 NC Practitioner - Nurse Practitioner 5092051821
I20231009002904 SC Practitioner - Nurse Practitioner 5092051821 Reassigns benefits to 3 organizations

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
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
Piedmont Physician Network LLC Nurse Practitioner CurrentSince Jul 18, 2024 Accepting new patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.