Active NPI
David G. Olson, M.D.
- Emergency Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19276
- Practice address
- 1 Saint Francis Dr
Greenville, SC 29601-3955 - Phone
- (864) 255-1000
- NPI assigned
- Jun 6, 2006
- Last updated
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19276 | SC | Primary |
Addresses
Primary practice location
1 Saint Francis Dr
Greenville, SC 29601-3955
Mailing address
44 Smythe Ave
Greenville, SC 29605-4549
Phone (864) 295-1351
Other practice location 1
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone (803) 434-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192767 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22799 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Tuomey | Emergency Medicine | Current | Accepting new patients |
| Prisma Health Tuomey | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Acs Emergency Physicians of SC PC | Emergency Medicine | Past | Accepting new patients |
Locations
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
dba Prisma Health Emergency Physicans Tuomey
- Emergency Medicine Physician
- Sumter, SC
- NPI 1548625593
-
dba Prisma Health Tuomey Acute Rehabilitation
- Rehabilitation Hospital Unit
- Sumter, SC
- NPI 1609895663
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1124355375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1871532556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SMYTHE AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054549",
"telephone_number": "864-295-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT FRANCIS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013955",
"telephone_number": "864-255-1000"
}
],
"practiceLocations": [
{
"address_1": "14 Richland Medical Park Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036896",
"country_code": "US",
"telephone_number": "803-434-1663",
"fax_number": "803-434-3894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "DAVID",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "19276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192767",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Victoria Sizemore Oliver, LMFT-A
- Danielle M. Olivier, MD
- Ashley Kaye Olmstead, MD
- Holly M Oloughlin, CRNA
- Mary Lynn Olsen, RN
- Yvette Ombougno, RN
- Omega Health & Rehab of Greenville, LLC
- Vitalii Omeliancic, DMD
- Elora Ommen, OD
- Oncology and Hematology Associates of South Carolina, LLC (Cancer Centers of the Carolinas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.