Active NPI
Alyssa K Pittman
- Surgery Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LL82448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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, MS
- 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
- General Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Saint Francis Bartlett Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The West Clinic P.C. | Single Specialty | Current | Accepting new patients |
| The West Clinic P.C. | Past | Accepting new patients | |
| The West Clinic P.C. | Past | 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
- 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.
-
- Specialist
- Corinth, MS
- NPI 1235201617
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1508644774
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.