Active NPI
Palmetto Health
Doing business as Easley General Surgeons
- Surgery Physician
- Easley, SC
National Provider Identifier
1811082928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PALMETTO HEALTH
- Doing business as
- Easley General Surgeons
- Practice address
- 403 Hillcrest Dr
Suite C
Easley, SC 29640-1207 - Phone
- (864) 855-1644
- Fax
- (864) 855-6101
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 9, 2008
- Organization subpart
- Yes
- Parent organization
- PALMETTO HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley O Patterson
- Title
- Office Manager
- Phone
- (864) 855-1644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
403 Hillcrest Dr
Suite C
Easley, SC 29640-1207
Mailing address
403 Hillcrest Dr
Suite C
Easley, SC 29640-1207
Phone (864) 855-1644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC6855 | Medicaid | SC | |
| 572296052070 | Other | SC | BLUE CROSS BLUE SHIELD |
Other names 1
- Easley General Surgeons
National Provider Directory
National Provider Directory- Part of
- Northeast Family Practi
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1811082928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 HILLCREST DR",
"address_2": "SUITE C",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401207",
"telephone_number": "864-855-1644",
"fax_number": "864-855-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 HILLCREST DR",
"address_2": "SUITE C",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401207",
"telephone_number": "864-855-1644",
"fax_number": "864-855-6101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALMETTO HEALTH",
"enumeration_date": "2006-10-04",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "864-855-1644",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC6855",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "572296052070",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Easley General Surgeons",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Easley, SC
- Palmetto Health (Palmetto Health Center)
- Palmetto Health (Medical Center of Easley)
- Palmetto Health (Easley Internal Medicine)
- Palmetto Health (Easley Orthopaedic Clinic, PA)
- Palmetto Health (Palmetto Health Hospitalist)
- Palmetto Health (Medical Center of Easley)
- Palmetto Health (Easley OB-GYN Associates)
- Palmetto Health (Palmetto Bone and Joint)
- Palmetto Health (Mt View OB GYN)
- Palmetto Health Alliance (Palmetto Bone and Joint Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.