Individual provider Active NPI

Gina Carmen-Feliz Masters, APRN

  • Acute Care Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1699814137
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
24368 Issued in SC
Practice address
2 Innovation Dr Ste 400
Greenville, SC 29607-5270
Phone
(864) 235-7665
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Nurse Practitioner 363L00000X 24368 SC
Acute Care Nurse Practitioner 363LA2100X 24368 SC Primary

Addresses

Primary practice location

2 Innovation Dr Ste 400
Greenville, SC 29607-5270

Mailing address

402 Park Ridge Cir
Greer, SC 29651-6951
Phone (864) 201-3128

Other practice location 1

101 Grace Dr
Easley, SC 29640-9088
Phone (864) 991-8414

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000797 SC Practitioner - Nurse Practitioner 7416398797 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24368SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Apr 7, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Apr 7, 2024 Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
St Francis Hospital Inc CurrentSince Apr 7, 2024 Accepting new patients
St Francis Hospital Inc CurrentSince Apr 7, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Jul 17, 2002 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

2 Innovation Dr
Ste 400
Greenville, SC 29607
Phone (864) 235-7665

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

Interoperability endpoints

  • Direct secure messaging: gmasters2540820@direct.bsmhealth.org

Organizations & group practices 7

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1699814137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PARK RIDGE CIR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516951",
            "telephone_number": "864-201-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075270",
            "telephone_number": "864-235-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Grace Dr",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296409088",
            "country_code": "US",
            "telephone_number": "864-991-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "GINA",
        "middle_name": "CARMEN-FELIZ",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24368",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "24368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.