NPIMap

Individual provider Active NPI

Channing Endress, FNP

  • Family Nurse Practitioner
  • Greer, SC
National Provider Identifier
1922493006
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19316 Issued in SC
Practice address
406 Memorial Drive Ext
Greer, SC 29651-1818
Phone
(864) 877-9066
Fax
(864) 241-9224
NPI assigned
Apr 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19316 SC Primary

Addresses

Primary practice location

406 Memorial Drive Ext
Greer, SC 29651-1818

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other identifiers 1

IdentifierTypeStateIssuer
NP3637MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cendress56121@direct.ghs.myhfn.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000098 SC Practitioner - Nurse Practitioner 2264744473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

426 Memorial Dr Ext
Greer, SC 29651-1818
Phone (864) 877-9066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19316SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Mar 29, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 29, 2022 Accepting new patients
Providence Care LLC PastSince Sep 6, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

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

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

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

426 Memorial Drive Ext
Greer, SC 29651
Phone (864) 877-9066

405 Memorial Drive Ext
Greer, SC 29651
Phone (864) 334-0141

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

406 Memorial Drive Ext
Greer, SC 29651
Phone (864) 877-9066

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

Interoperability endpoints

  • Direct secure messaging: cendress56121@direct.ghs.myhfn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1922493006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MEMORIAL DRIVE EXT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511818",
            "telephone_number": "864-877-9066",
            "fax_number": "864-241-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRESS",
        "first_name": "CHANNING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-05",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3637",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cendress56121@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cendress56121@direct.ghs.myhfn.org",
            "address_1": "406 Memorial Drive Ext",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296511818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.