Individual provider Active NPI

Erin Johnston Dickert, MD

  • Maternal & Fetal Medicine Physician
  • Greenville, SC
National Provider Identifier
1609041292
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
35489 Issued in SC
Practice address
373 Halton Rd
Greenville, SC 29607-3405
Phone
(864) 331-3230
Fax
(864) 331-3236
NPI assigned
Apr 24, 2008
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R1431 KY
Maternal & Fetal Medicine Physician 207VM0101X 35489 SC Primary

Addresses

Primary practice location

373 Halton Rd
Greenville, SC 29607-3405

Mailing address

PO Box 26536
Greenville, SC 29616-1536
Phone (864) 331-3230

Other names 1

  • Erin Joanna Johnston Former name

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
I20130702000011 SC Practitioner - Obstetrics/Gynecology 4183758568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

373 Halton Rd
Greenville, SC 29607-3405
Phone (864) 331-3230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1431KYMDObstetrics & Gynecology Physician
35489SCMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc CurrentSince Jul 10, 2013 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Obstetrics & Gynecology CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince Jul 10, 2013 Accepting new patients
St Francis Physician Services Inc Obstetrics & Gynecology Past Accepting new patients
Spartanburg Regional Med Ctr Maternal & Fetal Medicine Past Accepting new patients

Locations

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

373 Halton Rd
Greenville, SC 29607
Phone (864) 331-3230

Interoperability endpoints

  • Direct secure messaging: edickert1150668@direct.bsmhealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1609041292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26536",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161536",
            "telephone_number": "864-331-3230",
            "fax_number": "864-331-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073405",
            "telephone_number": "864-331-3230",
            "fax_number": "864-331-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERT",
        "first_name": "ERIN",
        "middle_name": "JOHNSTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "R1431",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "SC",
            "license": "35489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "JOHNSTON",
            "middle_name": "JOANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.