NPIMap

Individual provider Active NPI

Christopher M Simons, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
National Provider Identifier
1780893719
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
39099 Issued in SC
Practice address
8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400
Phone
(864) 295-3492
Fax
(864) 295-4817
NPI assigned
May 22, 2007
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 39099 SC
Dermatopathology (Pathology) Physician 207ZD0900X 2014-01451 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39099 SC Primary

Addresses

Primary practice location

8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400

Mailing address

8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400
Phone (864) 295-3492

Other identifiers 1

IdentifierTypeStateIssuer
390990MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002207 SC Practitioner - Pathology 6507188448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Brody School of Medicine at East Carolina University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of GreenvilleGroup PAC ID 9537072897, 33 clinicians

Practice addresses (Care Compare)

8 Memorial Medical CT
Suite 1
Greenville, SC 29605-4400
Phone (864) 295-3492

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01451NCMDDermatopathology (Pathology) Physician
39099SCMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Greenville PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2016 Accepting new patients
Pathology Consultants, Inc Dermatopathology PastSince Apr 1, 2016 Accepting new patients

Locations

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

8 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 269-9899

8 Memorial Medical Ct
Ste 1
Greenville, SC 29605
Phone (864) 295-3492

Organizations & group practices 2

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 55

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1780893719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "SC",
            "license": "39099",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "2014-01451",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "39099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390990",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.