NPIMap

Individual provider Active NPI

Rupert James McCormac IV, M.D.

  • Psychiatry Physician
  • Greer, SC
National Provider Identifier
1669486239
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21852 Issued in SC
Practice address
2700 E Phillips Rd
Greer, SC 29650-4815
Phone
(864) 235-2335
Fax
(864) 877-1260
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21852 SC Primary

Addresses

Primary practice location

2700 E Phillips Rd
Greer, SC 29650-4815

Mailing address

200 E Broad St Ste 300
Greenville, SC 29601-2891
Phone (800) 805-6989

Other identifiers 1

IdentifierTypeStateIssuer
218525MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center of Weaverville, PC PastSince Dec 1, 2019 Accepting new patients
Starting Point of Kentucky, PSC PastSince Aug 1, 2021 Accepting new patients
Virginia Treatment Center of Lynchburg PC PastSince Apr 15, 2025 Accepting new patients
Starting Point of Virginia, P.C. PastSince Dec 4, 2019 Accepting new patients
Crossroads Treatment Center of Greenville, PC PastSince Dec 1, 2019 Accepting new patients
Crossroads Treatment Center of Somerset, PSC PastSince May 12, 2017 Accepting new patients
Crossroads of New Jersey Management, LLC PastSince Jul 1, 2015 Accepting new patients
Crossroads Treatment Center of Greensboro, PC PastSince Jan 1, 2020 Accepting new patients
McEt-Waskom Limited Liability Company PastSince Apr 1, 2017 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Woodlands Medical Clinic PA Psychiatry PastSince Mar 1, 2010 Accepting new patients
Ars Treatment Centers, P.C. PastSince Jun 5, 2018 Accepting new patients

Organizations & group practices 12

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1669486239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROAD ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012891",
            "telephone_number": "800-805-6989",
            "fax_number": "864-877-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E PHILLIPS RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504815",
            "telephone_number": "864-235-2335",
            "fax_number": "864-877-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMAC",
        "first_name": "RUPERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "21852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218525",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.