Arwen Beatrice Long Declan, MD, PHD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

51957 Issued in SC

Practice address

701 Grove Rd FL 1
Greenville, SC 29605

Phone

(864) 455-7899

Fax

(864) 455-5474

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Duke University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
• Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adeclan243971@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 and National Provider Directory roles.

• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment Care Compare group NPD
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD

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

• Prisma Health-Upstate

  • Clinic/Center
  • Greer, SC
  • NPI 1538658455

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1578044053
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1629432869
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1639656713
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1669951364
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1760963243
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1790264497
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1821760430
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1982150009
  Care Compare affiliation

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1467779090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-455-7899",
            "fax_number": "864-455-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLAN",
        "first_name": "ARWEN",
        "middle_name": "BEATRICE LONG",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "51957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachory Graham Decarolis, PT, DPT, CSCS
• Christianna Kay Decker, FNP-C
• Christy M Decker, RN
• Georgenna R. Decker, LISW-CP
• Jeremy Craig Decker, COTA/L
• Paul Declerck, MD
• Dedicated Therapy Associates, LLC
• Jessie Deer, RN
• Kelsey Llamar Deer Jr.
• Jamey Billy Deering Jr., CRNA

• Emergency Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.