Active NPI
James Derrick Calvert, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3901
- Practice address
- 200 Patewood Dr Ste B100
Greenville, SC 29615-6320 - Phone
- (864) 232-7338
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 88761 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 3901 | SC | Primary |
Addresses
Primary practice location
200 Patewood Dr Ste B100
Greenville, SC 29615-6320
Mailing address
210 Dursely Dr
Anderson, SC 29621-3670
Phone (864) 723-5688
Other practice location 1
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 227-8242
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3901 | SC | MD | Certified Registered Nurse Anesthetist |
| 88761 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Associates, PA | Current | Accepting new patients |
Locations
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
105 Chapman Hill Rd
#A
Clemson, SC 29631
125 Halton Rd
Ste 200
Greenville, SC 29607
200 Patewood Dr
Ste B200
Greenville, SC 29615
Phone (864) 454-2226
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1588685333
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- Gastroenterology Physician
- Greenville, SC
- NPI 1487684031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811122278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 DURSELY DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213670",
"telephone_number": "864-723-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE B100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156320",
"telephone_number": "864-232-7338"
}
],
"practiceLocations": [
{
"address_1": "1325 Spring St",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296463860",
"country_code": "US",
"telephone_number": "864-227-8242",
"fax_number": "864-227-8148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALVERT",
"first_name": "JAMES",
"middle_name": "DERRICK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "88761",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3901",
"primary": true
}
],
"identifiers": [],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.