Individual provider Active NPI

William Nathaniel Gasque, MD

  • Sports Medicine (Family Medicine) Physician
  • Little River, SC
National Provider Identifier
1740713668
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
51148 Issued in SC
Practice address
3793 McDowell Lane Suite 100
Little River, SC 29566
Phone
(843) 390-0100
Fax
(843) 390-0038
NPI assigned
Apr 7, 2017
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 51148 SC Primary

Addresses

Primary practice location

3793 McDowell Lane Suite 100
Little River, SC 29566

Mailing address

3793 McDowell Lane Suite 100
Little River, SC 29566
Phone (843) 390-0100

Other names 1

  • Nathan Gasque Other name

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
I20190812002475 SC Practitioner - Family PracticePractitioner - Sports Medicine 4981970373 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of South Carolina School of Medicine, Greenville, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

3793 McDowell LN
Suite 100
Little River, SC 29566-7892
Phone (843) 390-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Anmed Health Family Medicine CurrentSince Oct 13, 2019 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 1, 2023 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
McLeod Physician Associates II Family Medicine Past Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Ste 3600
Anderson, SC 29621
Phone (864) 512-1115

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122

3793 McDowell Ln
Ste 100
Little River, SC 29566
Phone (843) 390-0100

Interoperability endpoints

  • Direct secure messaging: wgasque81069@directmcleodehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1740713668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 MCDOWELL LANE SUITE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "29566",
            "telephone_number": "843-390-0100",
            "fax_number": "843-390-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 MCDOWELL LANE SUITE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "29566",
            "telephone_number": "843-390-0100",
            "fax_number": "843-390-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASQUE",
        "first_name": "WILLIAM",
        "middle_name": "NATHANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "51148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "GASQUE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.