Active NPI
Terri Ann La Russo, D.O.
- Hospitalist Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4760
- Practice address
- 701 Grove Rd
5TH Floor
Greenville, SC 29605-4210 - Phone
- (864) 455-7000
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4760 | SC | |
| Hospitalist Physician | 208M00000X | 4760 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
5TH Floor
Greenville, SC 29605-4210
Mailing address
1 Independence PT
Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6044
Other names 1
- Terri Ann Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of New England, College of Osteo Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Grove Rd
Suite 5
Greenville, SC 29605-4210
Phone (864) 455-4411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4760 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Internal Medicine | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411
701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Internal Medicine
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1760652218
-
dba GHS Emergency Services of Laurens County
- Emergency Medicine Physician
- Clinton, SC
- NPI 1033550058
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
-
dba Prisma Health Greenville Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Wonder Center
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
dba Prisma Health Cancer Inst-Faris
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
dba Prisma Health Center for Family Medicine
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
dba Prisma Health OP Radiology
- Radiology Clinic/Center
- Greenville, SC
- NPI 1235685330
Hospital
-
dba Prisma Health Sleep Disorders Center-Verdae
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
dba Prisma Health Diabetes Self Care Mgt Prog
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1285180307
Hospital
-
dba Prisma Health Womens/Childrens Program
- Clinic/Center
- Greenville, SC
- NPI 1316492218
Hospital
-
dba Prisma Health Surgery Center - Centennial Way
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
dba Prisma Health Kidnetics-Medicaid
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
dba Prisma Health Cardiovascular Svcs GRNV
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
-
dba Prisma Health Center for Periop Optimization
- General Acute Care Hospital
- Greenville, SC
- NPI 1396207221
-
dba Prisma Health Kidnetics
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1396291407
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1588891758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"address_2": "5TH FLOOR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA RUSSO",
"first_name": "TERRI",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "4760",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "4760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRI",
"last_name": "WILLIAMS",
"middle_name": "ANN",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.
- 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.