Active NPI
Gertrude Bassey
- Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19915
- Practice address
- 800 Pelham Rd
Greenville, SC 29615-3300 - Phone
- (864) 234-5800
- Fax
- (864) 234-5888
- NPI assigned
- Jan 4, 2016
- Last updated
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19915 | SC | Primary |
Addresses
Primary practice location
800 Pelham Rd
Greenville, SC 29615-3300
Mailing address
800 Pelham Rd
Greenville, SC 29615-3300
Phone (864) 234-5800
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Services Inc | Current | Accepting new patients | |
| St Francis Physician Services Inc | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721
800 Pelham Rd
Greenville, SC 29615
Phone (864) 234-5800
Interoperability endpoints
- gbassey1149347@direct.bsmhealth.org
Organizations & group practices 3
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.
-
dba Bon Secours Covenant Primary Care
- Internal Medicine Physician
- Greenville, SC
- NPI 1871895771
-
dba Holly Tree Family Practice
- Family Medicine Physician
- Simpsonville, SC
- NPI 1306828587
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1457717761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153300",
"telephone_number": "864-234-5800",
"fax_number": "864-234-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153300",
"telephone_number": "864-234-5800",
"fax_number": "864-234-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSEY",
"first_name": "GERTRUDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "19915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.