NPIMap

Individual provider Active NPI

John P Cotter, MD

  • Family Medicine Physician
  • Travelers Rest, SC
National Provider Identifier
1548328271
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17270 Issued in SC
Practice address
1588 Geer Hwy
Travelers Rest, SC 29690-9204
Phone
(864) 836-1109
Fax
(864) 836-6365
NPI assigned
Dec 5, 2006
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17270 SC Primary

Addresses

Primary practice location

1588 Geer Hwy
Travelers Rest, SC 29690-9204

Mailing address

1588 Geer Hwy
Travelers Rest, SC 29690-9204
Phone (864) 836-1109

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
I20070430000003 SC Practitioner - Family Practice 5890891469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Mallard St
Greenville, SC 29601-4046
Phone (864) 233-1534

1588 Geer Hwy
Travelers Rest, SC 29690-9204
Phone (864) 836-1109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17270SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Family Health Services, Inc. CurrentSince Mar 31, 2003 Accepting new patients
New Horizon Family Health Services, Inc. Current Accepting new patients
New Horizon Family Health Services Inc CurrentSince Mar 31, 2003 Accepting new patients
New Horizon Family Health Services Inc. PastSince Sep 10, 2023 Accepting new patients

Locations

130 Mallard St
Greenville, SC 29601
Phone (864) 233-1534

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

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1548328271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 GEER HWY",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909204",
            "telephone_number": "864-836-1109",
            "fax_number": "864-836-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 GEER HWY",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909204",
            "telephone_number": "864-836-1109",
            "fax_number": "864-836-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.