NPIMap

Individual provider Active NPI

Annie Claude Gersh, D.O.

  • Family Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1801923560
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1644 Issued in SC
Practice address
1409 W Georgia Rd
Suite B
Simpsonville, SC 29680-6419
Phone
(864) 454-5000
Fax
(864) 454-5005
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009-00139 NC
Family Medicine Physician 207Q00000X 1644 SC Primary

Addresses

Primary practice location

1409 W Georgia Rd
Suite B
Simpsonville, SC 29680-6419

Mailing address

300 E McBee Ave
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
164405MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agersh7293@direct.ghs.myhfn.org

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
I20130610000361 SC Practitioner - Family Practice 6800942046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1409 W Georgia Rd
Suite B
Simpsonville, SC 29680-6420
Phone (864) 454-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00139NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince May 6, 2013 Accepting new patients
Prisma Health University Medical Group CurrentSince May 6, 2013 Accepting new patients
Prisma Health University Medical Group Family Medicine Current Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

1409 W Georgia Rd
Ste B
Simpsonville, SC 29680
Phone (864) 454-5000

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.

Hospital & facility affiliations 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1801923560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W GEORGIA RD",
            "address_2": "SUITE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806419",
            "telephone_number": "864-454-5000",
            "fax_number": "864-454-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSH",
        "first_name": "ANNIE",
        "middle_name": "CLAUDE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-00139",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164405",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agersh7293@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "1409 W Georgia Rd",
            "address_2": "Suite B",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296806419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.