NPIMap

Individual provider Active NPI

Lisa G Harding, MD

  • Internal Medicine Physician
  • Easley, SC
National Provider Identifier
1467447631
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27365 Issued in SC
Practice address
1648 Gentry Memorial Hwy
Easley, SC 29640-8877
Phone
(864) 855-1331
Fax
(864) 855-1602
NPI assigned
Sep 14, 2005
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27365 SC Primary

Addresses

Primary practice location

1648 Gentry Memorial Hwy
Easley, SC 29640-8877

Mailing address

1648 Gentry Memorial Hwy
Easley, SC 29640-8877
Phone (864) 855-1331

Other identifiers 1

IdentifierTypeStateIssuer
273652MedicaidSC

Other names 1

  • Miss Lisa Gay Bross Former name

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000619 SC Practitioner - Internal Medicine 9133197460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

1648 Gentry Memorial Hwy
Easley, SC 29640-8877
Phone (864) 855-1331

700 Brushy Creek Rd
Easley, SC 29642-2200
Phone (864) 306-9661

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Memorial Hospital CurrentSince Aug 25, 2014 Accepting new patients
St Francis Physician Services Inc CurrentSince Dec 1, 2010 Accepting new patients
Cannon Memorial Hospital CurrentSince Aug 25, 2014 Accepting new patients
St Francis Physician Services Inc Internal Medicine CurrentSince Dec 1, 2010 Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Asheville Hospitalist Group Internal Medicine Past Accepting new patients
Parkway Family Physicians PA Past Accepting new patients
Palmetto Health Internal Medicine Past Accepting new patients

Locations

1648 Gentry Memorial Hwy
Easley, SC 29640
Phone (864) 855-1331

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

Interoperability endpoints

  • Direct secure messaging: lharding1151794@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1467447631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296408877",
            "telephone_number": "864-855-1331",
            "fax_number": "864-855-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296408877",
            "telephone_number": "864-855-1331",
            "fax_number": "864-855-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "27365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273652",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BROSS",
            "middle_name": "GAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.