Active NPI
Nathan R. Tipper, MD
- Sports Medicine (Family Medicine) Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME157334
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-1185 - Phone
- (352) 273-7001
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME157334 | FL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 93640 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301115789 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME157334 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-1185
Mailing address
PO Box 112727
Gainesville, FL 32611-2727
Phone (352) 273-7001
Other practice location 1
3450 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 273-7001
Other practice location 2
35 International Dr
Greenville, SC 29615-4816
Phone (864) 234-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114490900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Toledo College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Grove Rd
Greenville, SC 29605-4649
Phone (864) 234-7654
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615-4816
Phone (864) 513-1136
910 N Main St
Fountain Inn, SC 29644-1320
Hospital & facility affiliations
- St Francis-Downtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME157334 | FL | MD | Sports Medicine (Family Medicine) Physician |
| 93640 | SC | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Family Medicine | Current | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
3450 Hull Rd
Gainesville, FL 32607
Phone (352) 273-7002
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
910 N Main St
Fountain Inn, SC 29644
Phone (864) 967-4982
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020
35 International Dr
Greenville, SC 29615
Phone (864) 242-5020
Interoperability endpoints
- ntipper332075@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1487148672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112727",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326112727",
"telephone_number": "352-273-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326101185",
"telephone_number": "352-273-7001"
}
],
"practiceLocations": [
{
"address_1": "3450 Hull Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326074144",
"country_code": "US",
"telephone_number": "352-273-7001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 International Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154816",
"country_code": "US",
"telephone_number": "864-234-7654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIPPER",
"first_name": "NATHAN",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME157334",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "SC",
"license": "93640",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301115789",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME157334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114490900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.