Individual provider Active NPI

Madisyn Burke, PA-C

  • Internal Medicine Physician
  • Greer, SC
National Provider Identifier
1609451194
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5086 Issued in SC
Practice address
300 John St Ste 4B
Greer, SC 29651-1463
Phone
(864) 479-0280
Fax
(864) 655-6300
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 5086 SC Primary

Addresses

Primary practice location

300 John St Ste 4B
Greer, SC 29651-1463

Mailing address

300 John St Ste 4B
Greer, SC 29651-1463
Phone (864) 479-0280

Other names 1

  • Madisyn Bell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501004022 SC Practitioner - Physician Assistant 1254726557

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 John St
Suite 4B
Greer, SC 29651-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5086SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Francis, MD, Inc. PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1609451194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JOHN ST STE 4B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511463",
            "telephone_number": "864-479-0280",
            "fax_number": "864-655-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JOHN ST STE 4B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511463",
            "telephone_number": "864-479-0280",
            "fax_number": "864-655-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MADISYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISYN",
            "last_name": "BELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.