Individual provider Active NPI

Alissa Marie Manfredi, MD

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1669428744
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30113 Issued in SC
Practice address
1835 Rogers Rd
Anderson, SC 29621-2278
Phone
(864) 224-3358
Fax
(864) 328-1975
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30113 SC
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 30113 SC
Family Medicine Physician 207Q00000X 30113 SC Primary

Addresses

Primary practice location

1835 Rogers Rd
Anderson, SC 29621-2278

Mailing address

1835 Rogers Rd
Anderson, SC 29621-2278
Phone (864) 224-3358

Other identifiers 1

IdentifierTypeStateIssuer
301131MedicaidSC

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
I20070905000446 SC Practitioner - Emergency MedicinePractitioner - Family Practice 6507831666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of the Upstate IncGroup PAC ID 6103084728, 5 clinicians

Practice addresses (Care Compare)

1835 Rogers Rd
Anderson, SC 29621-2278
Phone (864) 224-3358

Hospital & facility affiliations

  • Hospice of the Upstate, Inc Hospice, Anderson, SC, CCN 421506

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Upstate Inc CurrentSince Oct 1, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Nov 19, 2013 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Nov 19, 2013 Accepting new patients
Emergency Physicians of Indianapolis, PC Emergency Medicine Past Accepting new patients
Hospice of the Upstate Inc Family Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

1835 Rogers Rd
Anderson, SC 29621
Phone (864) 224-3358

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

1025 Verdae Blvd
Ste A
Greenville, SC 29607
Phone (864) 242-4683

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Organizations & group practices 5

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 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1669428744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 ROGERS RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212278",
            "telephone_number": "864-224-3358",
            "fax_number": "864-328-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ROGERS RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212278",
            "telephone_number": "864-224-3358",
            "fax_number": "864-328-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDI",
        "first_name": "ALISSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "30113",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "30113",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301131",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.