Individual provider Active NPI

Dennis Ryan Paulk, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Greenville, SC
National Provider Identifier
1841604550
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
MD37050 Issued in SC
Practice address
534 Woods Lake Rd
Greenville, SC 29607-2778
Phone
(864) 270-2739
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD37050 SC
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 2018010783 MO
Pediatrics Physician 208000000X MD37050 SC
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD37050 SC Primary

Addresses

Primary practice location

534 Woods Lake Rd
Greenville, SC 29607-2778

Mailing address

534 Woods Lake Rd
Greenville, SC 29607-2778
Phone (864) 270-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714000771 SC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3779703616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Allergy and Immunology, P.C.Group PAC ID 2668739160, 5 clinicians

Practice addresses (Care Compare)

534 Woods Lake Rd
Greenville, SC 29607-2778
Phone (864) 720-2739

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018010783MOMDAllergy & Immunology (Internal Medicine) Physician
MD37050SCMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Allergy & Immunology, P.C. CurrentSince Jul 1, 2020 Accepting new patients
Tribe513, P.a. Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

534 Woods Lake Rd
Greenville, SC 29607
Phone (864) 270-2739

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

Interoperability endpoints

  • Direct secure messaging: dennis.paulk@apexa.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1841604550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WOODS LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072778",
            "telephone_number": "864-270-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 WOODS LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072778",
            "telephone_number": "864-270-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "DENNIS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD37050",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MO",
            "license": "2018010783",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MD37050",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "SC",
            "license": "MD37050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.