Active NPI
Gregory Scott Iles, PA-C
- Physician Assistant
- Greenville, SC
National Provider Identifier
1871958280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5182
- Practice address
- 135 Commonwealth Dr Ste 120
Greenville, SC 29615-4881 - Phone
- (864) 675-4600
- NPI assigned
- Dec 30, 2015
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5182 | SC | Primary |
Addresses
Primary practice location
135 Commonwealth Dr Ste 120
Greenville, SC 29615-4881
Mailing address
135 Commonwealth Dr Ste 120
Greenville, SC 29615-4881
Phone (864) 675-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5182 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1871958280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 COMMONWEALTH DR STE 120",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154881",
"telephone_number": "864-675-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 COMMONWEALTH DR STE 120",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154881",
"telephone_number": "864-675-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILES",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-30",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.