Active NPI
Dorenda Gregg Truesdale, M.D.
- Family Medicine Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22650
- Practice address
- 2633 Celanese Rd
Rock Hill, SC 29732-1205 - Phone
- (803) 329-5131
- Fax
- (803) 366-6600
- NPI assigned
- Jul 16, 2006
- Last updated
- Nov 9, 2016
- Sex
- Female
- 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 Medicine Physician | 207Q00000X | 22650 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 2006-00615 | NC |
Addresses
Primary practice location
2633 Celanese Rd
Rock Hill, SC 29732-1205
Mailing address
704 Gold Hill Rd
Ste 107
Fort Mill, SC 29715-8907
Phone (803) 329-5131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066NX | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 080195108 | Other | RAILROAD MEDICARE | |
| 226507 | Medicaid | SC |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-00615 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Shiland Family Medicine | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
16 Roberts Blvd
Williamston, SC 29697
Phone (864) 512-5800
Interoperability endpoints
- dtruesdale28230@direct.anmedhealth.net
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1457378309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 GOLD HILL RD",
"address_2": "STE 107",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158907",
"telephone_number": "803-329-5131",
"fax_number": "803-366-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 CELANESE RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321205",
"telephone_number": "803-329-5131",
"fax_number": "803-366-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDALE",
"first_name": "DORENDA",
"middle_name": "GREGG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "22650",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2006-00615",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "066NX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080195108",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226507",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
- Kristen M Tripp, MS,SLP
- Kiersten Trismen, RBT
- True Transportation (TrueExpress Medical Transportation)
- True Voice Wellness LLC
- Armani Mar'Chene Truesdale
- Tre'Quon Truesdale
- Truewell Homecare & Support Services, LLC
- Stacey Ann Trusnovec, RN
- Trust Me Home Care Services
- Tsi South (TSI South Vital Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.