Individual provider Active NPI

Lisa Bush Bostic, MD

  • Psychiatry Physician
  • Greenville, SC
National Provider Identifier
1568877488
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37076 Issued in SC
Practice address
701 Grove Rd
Dept of Psychiatry-Miph
Greenville, SC 29605
Phone
(864) 455-5777
Fax
(864) 455-5773
NPI assigned
Jun 30, 2014
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 37076 SC Primary

Addresses

Primary practice location

701 Grove Rd
Dept of Psychiatry-Miph
Greenville, SC 29605

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214000448 SC Practitioner - Psychiatry 6103045257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

130 Hwy 252
Anderson, SC 29621-5054
Phone (803) 898-8405

2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 225-5131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37076SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 27, 2016 Accepting new patients
Anmed Health CurrentSince Feb 12, 2024 Accepting new patients
Anmed Health CurrentSince Feb 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince Nov 27, 2016 Accepting new patients
Anmed Health CurrentSince Feb 1, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Anmed Health Past Accepting new patients

Locations

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

Interoperability endpoints

  • Direct secure messaging: lbostic66133@direct.anmedhealth.net

Organizations & group practices 8

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1568877488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "address_2": "DEPT OF PSYCHIATRY-MIPH",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-455-5777",
            "fax_number": "864-455-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "LISA",
        "middle_name": "BUSH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "37076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.