Active NPI
Ambar Marie Colon Gonzalez, MD
- Neurology Physician
- Anderson, SC
National Provider Identifier
1760122949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- LL87964
- Practice address
- 2000 E Greenville St Ste 2800
Anderson, SC 29621-1722 - Phone
- (864) 512-7636
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LL87964 | SC | Primary |
Addresses
Primary practice location
2000 E Greenville St Ste 2800
Anderson, SC 29621-1722
Mailing address
2000 E Greenville St Ste 2800
Anderson, SC 29621-1722
Phone (864) 512-7636
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL87964 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1760122949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST STE 2800",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211722",
"telephone_number": "864-512-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST STE 2800",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211722",
"telephone_number": "864-512-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON GONZALEZ",
"first_name": "AMBAR",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "LL87964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.