Organization Active NPI

Govindappa LLC

  • Nephrology Physician
  • Florence, SC
National Provider Identifier
1811385032
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
GOVINDAPPA LLC
Practice address
121 E Cedar St
4TH Floor
Florence, SC 29506-2576
Phone
(312) 636-9829
NPI assigned
Dec 23, 2014
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Venugopal Govindappa, MDNPI 1316983729
Title
Owner
Phone
(312) 636-9829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

121 E Cedar St
4TH Floor
Florence, SC 29506-2576

Mailing address

PO Box 483
Columbia, SC 29202-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000572 SC Part B Supplier - Clinic/Group Practice 7810214160 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

704 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1811385032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E CEDAR ST",
            "address_2": "4TH FLOOR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062576",
            "telephone_number": "312-636-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVINDAPPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "GOVINDAPPA",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-636-9829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.