Active NPI
Ansley Lauren Speaks, PA-C
- Physician Assistant
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4516
- Practice address
- 1005 Grove Rd
Greenville, SC 29605-4630 - Phone
- (864) 455-6900
- Fax
- (864) 255-5619
- NPI assigned
- Aug 4, 2022
- Last updated
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4516 | SC | Primary |
Addresses
Primary practice location
1005 Grove Rd
Greenville, SC 29605-4630
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6294
Other practice location 1
102 Ravenwood Ln
Simpsonville, SC 29681-4725
Phone (864) 395-7893
Other practice location 2
111 Doctors Dr
Greenville, SC 29605-5622
Phone (864) 797-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4516 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683
1005 Grove Rd
Greenville, SC 29605
Phone (864) 235-7665
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba University Medical Group/Mobile Health Clinic
- Nurse Practitioner
- Greenville, SC
- NPI 1053786483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1568199099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-695-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054630",
"telephone_number": "864-455-6900",
"fax_number": "864-255-5619"
}
],
"practiceLocations": [
{
"address_1": "102 Ravenwood Ln",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296814725",
"country_code": "US",
"telephone_number": "864-395-7893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Doctors Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055622",
"country_code": "US",
"telephone_number": "864-797-7060",
"fax_number": "864-797-7065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEAKS",
"first_name": "ANSLEY",
"middle_name": "LAUREN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Spartanburg Medical Center (Medical Group of the Carolinas - Milestone Family Medicine)
- Spartanburg Regional Med Ctr (Magnolia Plastic Surgery-Rocky Slope)
- Spartanburg Regional Med Ctr (Upstate Maternal Fetal Medicine)
- Spartanburg Regional Medical Ctr (Village Orthopaedic Surgery-Mauldin)
- William Arch Spaugh Jr., P.A.
- Nicole Lynne Spear, FNP-BC
- Jessicka Spearman Childs, LPCA
- James Bryan Spearman, EDD., LPC, LMFT
- James David Spearman Jr., M.D.
- Ebony E Spears, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.