Active NPI
Jo Ann Sousa, MD
- Emergency Medicine Physician
- Greenville, SC
National Provider Identifier
1760445837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 16074
- Practice address
- 701 Grove Rd
ER Administration
Greenville, SC 29605-5611 - Phone
- (864) 455-6372
- NPI assigned
- Apr 10, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16074 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
ER Administration
Greenville, SC 29605-5611
Mailing address
255 Enterprise Blvd
Suite 250
Greenville, SC 29615-6300
Phone (864) 454-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160747 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16074 | SC | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760445837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 ENTERPRISE BLVD",
"address_2": "SUITE 250",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156300",
"telephone_number": "864-454-0888",
"fax_number": "864-454-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"address_2": "ER ADMINISTRATION",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296055611",
"telephone_number": "864-455-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "JO ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "16074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160747",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.