Individual provider Active NPI

Karen Ann Ardis, M.D.

  • Family Medicine Physician
  • Clemson, SC
National Provider Identifier
1851358907
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17061 Issued in SC
Practice address
735 McMillan Rd
Clemson, SC 29634-4054
Phone
(864) 656-0692
Fax
(864) 656-1619
NPI assigned
May 1, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17061 SC Primary

Addresses

Primary practice location

735 McMillan Rd
Clemson, SC 29634-4054

Mailing address

Box 344054
Clemson, SC 29634-0001
Phone (864) 656-2233

Other identifiers 1

IdentifierTypeStateIssuer
170610MedicaidSC

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
I20070828000451 SC Practitioner - Family PracticePractitioner - Emergency Medicine 5799757779 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Nov 27, 2018 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Nov 27, 2018 Accepting new patients
Redfern Health Center PastSince Aug 9, 2020 Accepting new patients
Sheridan Emergency Physician Services of South Carolina, PA Past Accepting new patients
Clemson University-Redfern Health Center PastSince Nov 20, 2022 Accepting new patients
Liberty Family Care Family Medicine PastSince Apr 30, 2003 Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Palmetto Health Family Medicine Past Accepting new patients
Palmetto Health Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

106 John St
Ste B
Easley, SC 29640
Phone (864) 855-5104

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

200 Fleetwood Dr
#4
Easley, SC 29640

200 Fleetwood Dr
Fl 3
Easley, SC 29640
Phone (864) 442-7279

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

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

300 W Front St
Liberty, SC 29657
Phone (864) 843-5605

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1851358907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 344054",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296340001",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "telephone_number": "864-656-0692",
            "fax_number": "864-656-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIS",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170610",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.