Carolina Pulmonary & Sleep Disorder, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

26847 Issued in SC

Legal business name

CAROLINA PULMONARY & SLEEP DISORDER, LLC

Doing business as

Abbas Mansour 'DBA' Carolina Pulmonary & Sleep Disorder

Practice address

109 Fleetwood Dr
Suite C
Easley, SC 29640-2019

Phone

(864) 850-0700

Fax

(864) 850-0705

NPI assigned

Jan 29, 2009

Last updated

Nov 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abbas Mansour, MDNPI 1326092156

Title

MD

Phone

(864) 850-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abbas Mansour 'DBA' Carolina Pulmonary & Sleep Disorder Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abbas Mansour, M.D.

  • Pulmonary Disease Physician
  • Easley, SC
  • NPI 1326092156
  Medicare reassignment NPD Authorized official
• Ngan Kim Moran, DNP, FNP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1013398031
  Medicare reassignment NPD
• Nicole I Crawford

  • Family Nurse Practitioner
  • Easley, SC
  • NPI 1376197335
  Medicare reassignment
• Jenifer R. Peters, P.A.

  • Physician Assistant
  • Greenville, SC
  • NPI 1023046380
  Medicare reassignment

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1598903528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GLOBAL DR",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074628",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FLEETWOOD DR",
            "address_2": "SUITE C",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402019",
            "telephone_number": "864-850-0700",
            "fax_number": "864-850-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PULMONARY & SLEEP DISORDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "864-850-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "26847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268472",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbas Mansour 'DBA' Carolina Pulmonary & Sleep Disorder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capstone Health & Rehab of Easley, LLC
• Capstone Rehabilitation and Healthcare Center, LLC
• Caring Hearts
• Joshua B Carlson, RPH
• Carolina Center for Postural Orthostatic Tachycardia Syndrome and Other Dysautonomias
• Carolina Spine and Pain Centers, LLC
• Carolina Spine Pain LLC
• Cassidy Lee Caron, CSFA
• John Michael Carpenter, CRNA
• Virginia Neely Todd Carraway, DMD

• Pulmonary Disease Physician in Easley, SC
• Providers in Easley, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.