Individual provider Active NPI

Demir Osmanovic, NP

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1508538224
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.25135 Issued in SC
Practice address
120 Pelham LN
Anderson, SC 29621-3335
Phone
(864) 844-9432
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.25135 SC Primary
Nurse Practitioner 363L00000X RN277778 GA

Addresses

Primary practice location

120 Pelham LN
Anderson, SC 29621-3335

Mailing address

303 Keith Ave
Anderson, SC 29625-1811
Phone (678) 920-0867

Other practice location 1

201 Central Park Ln
Seneca, SC 29678-1156
Phone (844) 864-9432

Other practice location 2

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 844-9432

Other practice location 3

60 Bear Dr
Greenville, SC 29605-4458
Phone (864) 844-9432

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815004554 SC Practitioner - Nurse Practitioner 0840738225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN277778GAMDNurse Practitioner
APN.25135SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taral Sharma MD PC CurrentSince Jul 18, 2024 Accepting new patients
Family Ties Inc. PastSince Mar 1, 2022 Accepting new patients
Peace of Mind Psychiatric Services PC PastSince Oct 1, 2021 Accepting new patients

Locations

120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337

10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772

60 Bear Dr
Greenville, SC 29605
Phone (864) 269-5500

201 Central Park Ln
Seneca, SC 29678
Phone (844) 864-9432

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1508538224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 KEITH AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251811",
            "telephone_number": "678-920-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PELHAM LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213335",
            "telephone_number": "864-844-9432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "844-864-9432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Financial Blvd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211770",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Bear Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054458",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMANOVIC",
        "first_name": "DEMIR",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN.25135",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN277778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.