Individual provider Active NPI

Angela Nicole Gary, APRN, FNP-C

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1760980908
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21603 Issued in SC
Practice address
1003 Grove Rd Ste C2
Greenville, SC 29605-4623
Phone
(844) 891-7255
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21603 SC Primary

Addresses

Primary practice location

1003 Grove Rd Ste C2
Greenville, SC 29605-4623

Mailing address

110 Dillon Dr
Spartanburg, SC 29307-1018
Phone (864) 293-0942

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619000594 SC Practitioner - Nurse Practitioner 2668727405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

10 Companion CT
Greer, SC 29651-1288
Phone (864) 989-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21603SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Oct 1, 2024 Accepting new patients
Curana Health of South Carolina PC CurrentSince Nov 12, 2020 Accepting new patients
Medasic CurrentSince Oct 1, 2020 Accepting new patients

Locations

106 Parris Bridge Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 285-4378

20 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 288-6775

300 John St
Ste 4B
Greer, SC 29651
Phone (864) 334-7727

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

2902 E Main Street Ext
Spartanburg, SC 29307
Phone (864) 266-3536

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1760980908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DILLON DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071018",
            "telephone_number": "864-293-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GROVE RD STE C2",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054623",
            "telephone_number": "844-891-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.