NPIMap

Individual provider Active NPI

Michael J. Marshall, D.O.

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1568809465
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83810 Issued in SC
Practice address
215 Halton Rd
Greenville, SC 29607-3509
Phone
(864) 454-2700
Fax
(864) 288-5082
NPI assigned
May 31, 2013
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 83810 SC Primary
Surgery Physician 208600000X OP60591635 WA
General Practice Physician 208D00000X OP60591635 WA

Addresses

Primary practice location

215 Halton Rd
Greenville, SC 29607-3509

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

1298 Woodruff Rd
Greenville, SC 29607-5754
Phone (864) 236-4700

Other practice location 2

1322 3rd Street SE, Suite 240, MS 1322-2-EFM
East Pierce Family Medicine
Puyallup, WA 98371-0192
Phone (253) 697-1420

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
I20220228000547 SC Practitioner - Family Practice 4385888254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

122 S Main St
Mauldin, SC 29662-2554
Phone (864) 284-4420

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

215 Halton Rd
Greenville, SC 29607-3509
Phone (864) 522-1320

3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340

3322 N Main St
Anderson, SC 29621-4108
Phone (864) 715-3309

6043 Calhoun Memorial Hwy
Easley, SC 29640-3811
Phone (803) 794-6780

718 Fairview Rd
Simpsonville, SC 29680-7117
Phone (864) 794-6555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60591635WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 31, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 31, 2022 Accepting new patients
Prisma Health University Medical Group Family Medicine Current Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

215 Halton Rd
Greenville, SC 29607
Phone (864) 454-2700

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

Interoperability endpoints

  • Direct secure messaging: mmarshall117777@direct.multicare.org
  • Direct secure messaging: mmarshall557982@direct.ghs.myhfn.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1568809465",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073509",
            "telephone_number": "864-454-2700",
            "fax_number": "864-288-5082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1298 Woodruff Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075754",
            "country_code": "US",
            "telephone_number": "864-236-4700",
            "fax_number": "864-236-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 3rd Street SE, Suite 240, MS 1322-2-EFM",
            "address_2": "East Pierce Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983710192",
            "country_code": "US",
            "telephone_number": "253-697-1420",
            "fax_number": "253-697-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83810",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP60591635",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "OP60591635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.