Active NPI
Robert Goodwin Person, M.D.
- Family Medicine Physician
- Easley, SC
National Provider Identifier
1740294305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26550
- Practice address
- 111 W Roper Rd
Easley, SC 29640-8805 - Phone
- (864) 897-8280
- Fax
- (864) 897-8281
- NPI assigned
- Jul 28, 2006
- Last updated
- Aug 17, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26550 | SC | Primary |
Addresses
Primary practice location
111 W Roper Rd
Easley, SC 29640-8805
Mailing address
PO Box 919
Pickens, SC 29671-0919
Phone (864) 897-8280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265509 | Medicaid | SC | |
| GP4560 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cannon Memorial Hospital
Practice addresses (Care Compare)
111 W Roper Rd
Easley, SC 29640-8805
Phone (864) 897-8280
123 WG Acker Dr
Pickens, SC 29671-2739
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26550 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Memorial Hospital | Current | Accepting new patients | |
| Cannon Memorial Hospital | Current | Accepting new patients | |
| Cannon Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Anmed Health | Past | Accepting new patients | |
| Cannon Memorial Hospital | Family Medicine | Past | Accepting new patients |
Locations
111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280
123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465
Interoperability endpoints
- bperson45377@direct.anmedhealth.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AnMed Primary Care - Easley
- Rural Health Clinic/Center
- Easley, SC
- NPI 1700890084
Family Medicine
-
dba AnMed Health Orthopaedics and Sports Medicine- Cannon
- Orthopaedic Surgery Physician
- Pickens, SC
- NPI 1861645558
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Interim Healthcare of the Upstate
- Home Health Agency
- Greenville, SC
- NPI 1750897609
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": "1282003200000",
"number": "1740294305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919",
"city": "PICKENS",
"state": "SC",
"postal_code": "296710919",
"telephone_number": "864-897-8280",
"fax_number": "864-897-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ROPER RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296408805",
"telephone_number": "864-897-8280",
"fax_number": "864-897-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSON",
"first_name": "ROBERT",
"middle_name": "GOODWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "26550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265509",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4560",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.