Fredda Annette Patterson

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

20638 Issued in SC

Practice address

215 Stork Way
Seneca, SC 29678-1039

Phone

(864) 800-0100

Fax

(864) 800-0101

NPI assigned

Jan 26, 2017

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atreus LLCGroup PAC ID 7315310976, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fpatterson234785@direct.ghs.myhfn.org

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.

• Atreus LLC

  dba Atreus Medical and Surgical Associates

  • Otolaryngology Physician
  • Seneca, SC
  • NPI 1154034080
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1447797675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-800-0100",
            "fax_number": "864-800-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Fleetwood Dr",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296402022",
            "country_code": "US",
            "telephone_number": "864-442-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Fleetwood Dr",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296402022",
            "country_code": "US",
            "telephone_number": "864-442-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Chapman Hill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296312194",
            "country_code": "US",
            "telephone_number": "864-653-4071",
            "fax_number": "864-653-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "FREDDA",
        "middle_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "AG1116016",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "20638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4386",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fpatterson234785@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fpatterson234785@direct.ghs.myhfn.org",
            "address_1": "101 Chapman Hill Rd",
            "city": "Clemson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296312194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorothy Angela Parson, LPN
• Partners in Health - Rural Health (Clemson-Seneca Pediatrics Main)
• Akul Patel
• Dhruval Patel, M.D
• Krishna Manhar Patel, APN
• Halie Chambers Patterson
• Elizabeth Belle Pearson
• Briana Alexis Peek, MSN, APRN, PMHNP-BC
• Diane Peele, FNP-BC
• Janessa M. Perez-Motlis, M.D.

• Gerontology Nurse Practitioner in Seneca, SC
• Providers in Seneca, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.