Individual provider Active NPI

Mark D Purcell, DO

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1639183544
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO1241 Issued in SC
Practice address
203 Mills Avenue
Greenville, SC 29605-4019
Phone
(864) 271-1844
Fax
(864) 271-2147
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO1241 SC Primary

Addresses

Primary practice location

203 Mills Avenue
Greenville, SC 29605-4019

Mailing address

203 Mills Avenue
Carolina Nephrology PA
Greenville, SC 29605-4019
Phone (864) 271-1844

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
I20090818000079 SC Practitioner - Internal Medicine 7719983485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians

Practice addresses (Care Compare)

110 B Hospital Dr
Simpsonville, SC 29681-3226
Phone (864) 962-1080

110 Chalmers Rd
Greenville, SC 29605-1351

1410 B John B White Sr Blvd
Spartanburg, SC 29306-3927
Phone (864) 529-9390

201 E 1St Ave
Easley, SC 29640-3038
Phone (864) 271-1844

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

400 Plaza Cir
Suite H
Clinton, SC 29325-7558
Phone (864) 271-1844

45 Aaron Tippin Dr
Greer, SC 29650-1256
Phone (864) 848-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1241SCMDClinical Psychologist
DO1241SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Nephrology PA CurrentSince Aug 22, 2009 Accepting new patients
Carolina ASC LLC PastSince May 1, 2024 Accepting new patients

Locations

803 N Fant St
Ste 2A
Anderson, SC 29621
Phone (864) 225-7401

455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314

400 Plaza Cir
Ste H
Clinton, SC 29325
Phone (864) 833-4166

121 Commerce Blvd
Ste B
Easley, SC 29642
Phone (864) 859-3038

406 Tiffany Park
#B
Gaffney, SC 29341
Phone (864) 663-2736

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

110 Chalmers Rd
Unit B
Greenville, SC 29605

110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200

108 W Church St
Greer, SC 29650
Phone (864) 469-7733

45 Aaron Tippin Dr
Greer, SC 29650
Phone (864) 848-5555

110B Hospital Dr
Simpsonville, SC 29681
Phone (864) 382-6940

1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 271-1488

Interoperability endpoints

  • Direct secure messaging: mpurcell30101@direct.ghs.myhfn.org
  • Direct secure messaging: markpurcell@cnpa.allscriptsdirect.net

Organizations & group practices 2

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 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1639183544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MILLS AVENUE",
            "address_2": "CAROLINA NEPHROLOGY PA",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MILLS AVENUE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "DO1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.