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Organization Active NPI

St Francis Physician Services Inc

Doing business as Bon Secours Covenant Primary Care

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1871895771
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23959 Issued in SC
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Doing business as
Bon Secours Covenant Primary Care
Practice address
10 Enterprise Blvd Ste 111
Greenville, SC 29615-3534
Phone
(864) 365-0200
Fax
(864) 365-0205
NPI assigned
Nov 29, 2010
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ST FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Wilbur R Gay III
Title
Cfo
Phone
(864) 605-3762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X 23959 SC Primary

Addresses

Primary practice location

10 Enterprise Blvd Ste 111
Greenville, SC 29615-3534

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 365-0200

Other names 1

  • Bon Secours Covenant Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000259 SC Part B Supplier - Clinic/Group Practice 6608826821 Receives reassigned benefits from 258 practitioners
Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC…

National Provider Directory

National Provider Directory
Tax ID family
Carolina Orthopaedic Center39 organizations share this tax ID, including this one
Part of
Carolina Orthopaedic Center

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations (25 of 28)

201 Richard St
Easley, SC 29640
Phone (864) 850-0700

290 Enterprise Dr
Easley, SC 29642
Phone (864) 220-1110

702 N A St
Easley, SC 29640
Phone (864) 859-4480

1010 Woodside Ave
Greenville, SC 29611
Phone (864) 537-0159

1011 Frontage Rd
Greenville, SC 29615
Phone (864) 242-4263

1028 N Church St
Greenville, SC 29601
Phone (864) 271-1464

115 Halton Village Cir
Greenville, SC 29607
Phone (864) 281-9440

124 Verdae Blvd
Ste 240
Greenville, SC 29607
Phone (864) 271-9780

135 Commonwealth Dr
#350
Greenville, SC 29615
Phone (864) 675-4730

135 Commonwealth Dr
Ste 100
Greenville, SC 29615
Phone (864) 365-0200

135 Commonwealth Dr
Ste 210
Greenville, SC 29615
Phone (864) 242-1750

135 Commonwealth Dr
Ste 320
Greenville, SC 29615
Phone (864) 546-3699

17 Memorial Medical Dr
Greenville, SC 29605
Phone (864) 283-0637

2 Innovation Dr
Ste 300
Greenville, SC 29607
Phone (864) 365-0123

2086 Woodruff Rd
#B
Greenville, SC 29607
Phone (864) 329-9526

3 Saint Francis Dr
Ste 300
Greenville, SC 29601
Phone (864) 233-8063

3 Saint Francis Dr
Ste 490
Greenville, SC 29601
Phone (864) 220-4263

317 Saint Francis Dr
Ste 210
Greenville, SC 29601
Phone (803) 271-8184

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

317 Saint Francis Dr
Ste 250
Greenville, SC 29601
Phone (864) 241-5199

5 Hoke Smith Blvd
Greenville, SC 29615
Phone (864) 213-4223

800 Pelham Rd
Greenville, SC 29615
Phone (864) 234-5800

801 Roper Creek Dr
Greenville, SC 29615
Phone (864) 297-0080

2001 Hood Rd
Greer, SC 29650
Phone (864) 963-1548

3115D Brushy Creek Rd
Greer, SC 29650
Phone (864) 877-4221

Practitioners & affiliated clinicians

Practitioners 354

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.

View all 354

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1871895771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-365-0200",
            "fax_number": "864-365-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 111",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-365-0200",
            "fax_number": "864-365-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2010-11-29",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Covenant Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Covenant Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.