NPIMap

Individual provider Active NPI

Julie Iannazzone Gibbons, F.N.P.

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1811287279
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21281 Issued in SC
Practice address
2A Cleveland CT
Greenville, SC 29607-2414
Phone
(864) 605-6823
NPI assigned
Apr 19, 2011
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21281 SC
Family Nurse Practitioner 363LF0000X RN1007952 DC
Nurse Practitioner 363L00000X 21281 SC Primary

Addresses

Primary practice location

2A Cleveland CT
Greenville, SC 29607-2414

Mailing address

29 Gossamer PL
Greenville, SC 29607-3850
Phone (908) 577-2297

Other practice location 1

200 University Rdg
Greenville, SC 29601-3635
Phone (864) 372-3720

Other practice location 2

3800 Reservoir Rd NW
PHC Bldg, 6th Floor
Washington, DC 20007-2113
Phone (202) 444-8168

Other practice location 3

4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone (877) 870-1775

Other names 1

  • Ms. Julie Catherine Iannazzone Former name

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
I20190828002976 SC Practitioner - Nurse Practitioner 0941470520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

1 Doctors Dr
Greenville, SC 29605-4266
Phone (843) 574-5693

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21281SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of South Carolina Medical PC CurrentSince Jan 31, 2020 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Jul 10, 2025 Accepting new patients
Premise Health of South Carolina Medical PC Current Accepting new patients
Emergencymd CurrentSince Jun 10, 2019 Accepting new patients
Premise Health of South Carolina Medical PC CurrentSince Jan 31, 2020 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
Aim Falls Church, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Emergency Physician Services Past Accepting new patients

Locations

75 Remittance Dr
Dept 1363
Chicago, IL 60675

1 Doctors Dr
Greenville, SC 29605
Phone (864) 271-3354

10 Parkway S
Greenville, SC 29615
Phone (864) 458-6933

2498 N Pleasantburg Dr
Ste A
Greenville, SC 29609
Phone (864) 236-4350

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

415 Brockman McClimon Rd
Greer, SC 29651
Phone (864) 989-1432

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 9

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1811287279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GOSSAMER PL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073850",
            "telephone_number": "908-577-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-605-6823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 University Rdg",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013635",
            "country_code": "US",
            "telephone_number": "864-372-3720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_2": "PHC Bldg, 6th Floor",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-8168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Regent St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432196229",
            "country_code": "US",
            "telephone_number": "877-870-1775",
            "fax_number": "614-968-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "JULIE",
        "middle_name": "IANNAZZONE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1007952",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "IANNAZZONE",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "F.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.