Foothills Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

FOOTHILLS NEPHROLOGY PC

Practice address

126 Dillon Drive
Spartanburg, SC 29307-1018

Phone

(864) 327-1212

Fax

(864) 327-1211

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Lisa A Rollins, RN

Title

Office Manager

Phone

(864) 327-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew C. Lambert, M.D.

  • Nephrology Physician
  • Spartanburg, SC
  • NPI 1992840805
  Medicare reassignment Care Compare group NPD
• Charles Bruce Murdock, MD

  • Nephrology Physician
  • Spartanburg, SC
  • NPI 1679533640
  Medicare reassignment Care Compare group NPD
• Tanya Tocharoen Tang, D.O.

  • Nephrology Physician
  • Spartanburg, SC
  • NPI 1528388030
  Medicare reassignment Care Compare group NPD
• Frances Patricia Wise, ACNP

  • Acute Care Nurse Practitioner
  • Spartanburg, SC
  • NPI 1992855902
  Medicare reassignment Care Compare group NPD
• Addy Antley Cannon, PA-C

  • Medical Physician Assistant
  • Spartanburg, SC
  • NPI 1386954097
  Medicare reassignment Care Compare group
• Kristen Bieri Koch, PA-C

  • Medical Physician Assistant
  • Spartanburg, SC
  • NPI 1356653968
  Medicare reassignment Care Compare group
• Jordan Ronnie Lawson, PA-C

  • Nephrology Physician
  • Spartanburg, SC
  • NPI 1609557800
  Medicare reassignment Care Compare group
• Louann Tatum Hulse

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1467837195
  Medicare reassignment NPD
• Scott Jorgensen

  • Nurse Practitioner
  • Spartanburg, SC
  • NPI 1205249729
  Medicare reassignment NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1528025137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DILLON DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071018",
            "telephone_number": "864-327-1212",
            "fax_number": "864-327-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DILLON DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071018",
            "telephone_number": "864-327-1212",
            "fax_number": "864-327-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-327-1212",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0244",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Lou Foltz, RN
• Yaima Fonseca
• Timothy Jason Fontaine, MD
• Foothills Anesthesia Consultants, PC
• Foothills Cardiothoracic, P.a.
• Foothills Pediatric Dentistry, PA
• Cyril ABA Forcha, FNP
• Kristi Denise Ford-Scales, MD
• Bridget Jakia Ford
• Fords Drugs and Medical Inc

• Nephrology Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.