Active NPI
Eryn Marie Timmons, PA-C
- Physician Assistant
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5580
- Practice address
- 115 Overland Dr
Greenwood, SC 29646-4053 - Phone
- (864) 227-6641
- Fax
- (864) 227-3953
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5580 | SC | Primary |
Addresses
Primary practice location
115 Overland Dr
Greenwood, SC 29646-4053
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Other practice location 1
421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7569PA | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-7272
115 Overland Dr
Greenwood, SC 29646-4053
Phone (864) 227-6641
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4095
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5580 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6764
Chicago, IL 60675
905 W Greenwood St
Abbeville, SC 29620
Phone (864) 223-8090
23013 Highway 76 E
#A
Clinton, SC 29325
Phone (864) 223-8090
421 Epting Ave
Greenwood, SC 29646
Phone (864) 227-6818
115 Overland Dr
Greenwood, SC 29646
Phone (864) 227-6641
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
104 Wells Ave
Greenwood, SC 29646
207 Holiday Rd
Mc Cormick, SC 29835
Phone (800) 922-4194
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- esmith537986@selfregional.direct-ci.net
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.
-
dba Montgomery Center for Family Medicine of SRH
- Family Medicine Physician
- Greenwood, SC
- NPI 1326067703
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Nurse Practitioner
- Greenwood, SC
- NPI 1932847183
-
dba Self Regional Neurology
- Neurology Physician
- Greenwood, SC
- NPI 1285502559
-
dba Advanced Cardiology Associates
- Cardiovascular Disease Physician
- Greenwood, SC
- NPI 1518766815
-
dba Self Medical Center Newberry
- Family Medicine Physician
- Newberry, SC
- NPI 1548068398
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abbeville Area Medical Center
- Critical Access Hospital
- Abbeville, SC
- NPI 1063449361
-
dba Abbeville Hospital Swingbed Unit
- Medicare Defined Swing Bed Hospital Unit
- Abbeville, SC
- NPI 1811096423
-
dba Pain Management Greenwood
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
dba SRH - Inpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
dba Home Health Services of SRH
- Home Health Agency
- Greenwood, SC
- NPI 1407860778
-
dba SRH - Outpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
dba Pain Management Laurens
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1730900317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463837",
"telephone_number": "864-725-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 OVERLAND DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464053",
"telephone_number": "864-227-6641",
"fax_number": "864-227-3953"
}
],
"practiceLocations": [
{
"address_1": "421 Epting Ave",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296464041",
"country_code": "US",
"telephone_number": "864-227-6818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMMONS",
"first_name": "ERYN",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7569PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.