NPIMap

Organization Active NPI

Medasic

  • Addiction (Substance Use Disorder) Counselor
  • Greer, SC
National Provider Identifier
1922630912
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MEDASIC
Practice address
300 John St Ste 4B
Greer, SC 29651-1463
Phone
(864) 400-8293
NPI assigned
Feb 7, 2020
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. Nancy Patel, DONPI 1912119371
Title
Owner
Phone
(864) 400-8293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

300 John St Ste 4B
Greer, SC 29651-1463

Mailing address

700 Plaza Cir Ste N
Clinton, SC 29325-7556
Phone (864) 334-7727

Other practice location 1

104 Willis Plz
Gaffney, SC 29341-1500
Phone (864) 206-4477

Other practice location 2

106 Parris Bridge Rd
Boiling Springs, SC 29316-1900
Phone (864) 334-7727

Other practice location 3

1731 Laurel St
Columbia, SC 29201-2624
Phone (803) 445-1934

Other practice location 4

10121 Clemson Blvd Ste A
Seneca, SC 29678-0818
Phone (864) 614-5312

Other practice location 5

3215 Marin Luther King Jr.
Ste O
Anderson, SC 29625-1715
Phone (864) 540-8184

Other identifiers 1

IdentifierTypeStateIssuer
DO1571OtherSCMEDICAL LICENSES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200518003133 SC Part B Supplier - Clinic/Group Practice 3971934399 Receives reassigned benefits from 18 practitioners
Practice locations: Anderson, SC; Seneca, SC; Greer, SC; Gaffney, SC; Columbia, SC; Boiling Springs, SC
O20201208000142 GA Part B Supplier - Clinic/Group Practice 3971934399 Receives reassigned benefits from 2 practitioners
Practice locations: Toccoa, GA
O20230524000980 NC Part B Supplier - Clinic/Group Practice 3971934399 Receives reassigned benefits from 3 practitioners
Practice locations: Monroe, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2181123Medasic300 John Street, Suite 4B, Greer, SC 29651Certificate of waiverMar 25, 2028
42D2190778Medasic, LLC106 Parris Bridge Rd, Boiling Springs, SC 29316Certificate of waiverAug 18, 2026
42D2238203Medasic10121 Clemson Blvd, Suite a, Seneca, SC 29678Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

766 Collins Rd
Toccoa, GA 30577
Phone (864) 334-7727

106 Parris Bridge Rd
Boiling Springs, SC 29316
Phone (864) 334-7727

106 Parris Bridge Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 285-4378

104 Willis Plz
Gaffney, SC 29341
Phone (800) 792-9030

300 John St
Ste 4B
Greer, SC 29651
Phone (864) 334-7727

300 John St
Unit 481
Greer, SC 29651

10121 Clemson Blvd
#A
Seneca, SC 29678
Phone (864) 614-5312

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1922630912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR STE N",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257556",
            "telephone_number": "864-334-7727",
            "fax_number": "864-655-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JOHN ST STE 4B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511463",
            "telephone_number": "864-400-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Willis Plz",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293411500",
            "country_code": "US",
            "telephone_number": "864-206-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Parris Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293161900",
            "country_code": "US",
            "telephone_number": "864-334-7727",
            "fax_number": "864-334-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1731 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012624",
            "country_code": "US",
            "telephone_number": "803-445-1934",
            "fax_number": "803-445-1625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10121 Clemson Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296780818",
            "country_code": "US",
            "telephone_number": "864-614-5312",
            "fax_number": "864-615-1732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 Marin Luther King Jr.",
            "address_2": "Ste O",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296251715",
            "country_code": "US",
            "telephone_number": "864-540-8184",
            "fax_number": "864-540-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDASIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-400-8293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSES",
            "identifier": "DO1571",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.