NPIMap

Individual provider Active NPI

David Gordon Anderson, MD

  • Surgery Physician
  • Greenville, SC
National Provider Identifier
1447200514
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19440 Issued in SC
Practice address
135 Commonwealth Dr
Suite 210
Greenville, SC 29615-4831
Phone
(864) 675-4815
Fax
(864) 675-4780
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College and Hospital for Women, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Greenville Specialty Care LLC 290 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000

135 Commonwealth Dr
Greenville, SC 29615-4850

3 Saint Francis Dr
Greenville, SC 29601-3972

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

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040817000160 SC Practitioner - General Surgery 9436122009 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19440SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Surgery CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc Surgery Past Accepting new patients
Advanced Surgical Associates Surgery PastSince Aug 13, 2004 Accepting new patients
Surgical Billing Specialist Surgery Past Accepting new patients

Locations

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

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

135 Commonwealth Dr
Ste 210
Greenville, SC 29615
Phone (864) 242-1750

Interoperability endpoints

  • Direct secure messaging: danderson1149049@direct.bsmhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19440 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

135 Commonwealth Dr
Suite 210
Greenville, SC 29615-4831

Mailing address

135 Commonwealth Dr
Suite 210
Greenville, SC 29615-4831
Phone (864) 675-4815

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
194408MedicaidSC
8157OtherSCMEDICARE PTAN
1295769438OtherSCGROUP NPI

Other names 1

NPPES NPI Registry
  • David Gordon Anderson Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2013.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1447200514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COMMONWEALTH DR",
            "address_2": "SUITE 210",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154831",
            "telephone_number": "864-675-4815",
            "fax_number": "864-675-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COMMONWEALTH DR",
            "address_2": "SUITE 210",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154831",
            "telephone_number": "864-675-4815",
            "fax_number": "864-675-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "19440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194408",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8157",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1295769438",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "ANDERSON",
            "middle_name": "GORDON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.