Individual provider Active NPI

Alyssa K Pittman

  • Surgery Physician
  • Greenville, SC
National Provider Identifier
1609432855
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LL82448 Issued in SC
Practice address
701 Grove Rd FL 3
Greenville, SC 29605-4295
Phone
(864) 455-1435
Fax
(864) 455-1320
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X LL82448 SC Primary

Addresses

Primary practice location

701 Grove Rd FL 3
Greenville, SC 29605-4295

Mailing address

701 Grove Rd FL 3
Greenville, SC 29605-4295
Phone (864) 455-1435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250204000462 TN Practitioner - Surgical Oncology 2062844178 Reassigns benefits to 1 organization
I20250306000218 MS Practitioner - General Surgery 2062844178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The West Clinic P.C. Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
The West Clinic P.C. Past Accepting new patients
The West Clinic P.C. PastSince Sep 24, 2023 Accepting new patients

Locations

2001 State Dr
Corinth, MS 38834
Phone (662) 286-3694

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

6005 Park Ave
Ste 700
Memphis, TN 38119
Phone (901) 527-3391

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

1727 Kirby Pkwy
Ste 100
Memphis, TN 38120
Phone (901) 685-5520

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

1290 Kelley Dr
Paris, TN 38242
Phone (270) 554-0011

Interoperability endpoints

  • Direct secure messaging: apittman67550@mlh.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1609432855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054295",
            "telephone_number": "864-455-1435",
            "fax_number": "864-455-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054295",
            "telephone_number": "864-455-1435",
            "fax_number": "864-455-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL82448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.