Active NPI
Dianna Michelle Perry, NP
- Family Nurse Practitioner
- Gaffney, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20475
- Practice address
- 722 Hyatt St
Gaffney, SC 29341-2643 - Phone
- (864) 489-2400
- Fax
- (864) 488-3987
- NPI assigned
- Sep 12, 2016
- Last updated
- Sep 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20475 | SC | Primary |
Addresses
Primary practice location
722 Hyatt St
Gaffney, SC 29341-2643
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC97646067 | Other | SC | MEDICARE PIN |
| SC9764J577 | Other | SC | MEDICARE PIN |
| NP4282 | Medicaid | SC | |
| SC97646084 | Other | SC | MEDICARE PIN |
Other names 1
- Dianna Michelle Peterson
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
722 Hyatt St
Suite C
Gaffney, SC 29341-2644
Phone (864) 487-2400
840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone (864) 489-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20475 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Cherokee Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Cherokee Medical Center | Current | Accepting new patients | |
| Cherokee Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Past | Accepting new patients |
Locations
103 Stuard St
Gaffney, SC 29341
Phone (864) 488-9500
517 Chesnee Hwy
#A
Gaffney, SC 29341
Phone (864) 487-7655
722 Hyatt St
Gaffney, SC 29341
Phone (864) 489-2400
840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300
3611 Pelham Rd
Greenville, SC 29615
Phone (864) 530-3500
7221 S Pine St
Pacolet, SC 29372
Phone (864) 474-1528
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260
151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627
2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696
2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone 8645873000 ext. 86458
511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031
Organizations & group practices 9
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.
-
dba CMC-Immediate Care Center-Gaffney
- Family Medicine Physician
- Gaffney, SC
- NPI 1285275305
-
dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
dba Medical Group of the Carolinas - Family Medicine - Boiling Springs
- Family Medicine Physician
- Boiling Springs, SC
- NPI 1235170077
-
dba CMC-Center for Family Medicine-Grassy Pond
- Family Medicine Physician
- Gaffney, SC
- NPI 1093356115
-
dba CMC-Center for Pediatrics
- Rural Health Clinic/Center
- Gaffney, SC
- NPI 1265073381
-
dba Medical Group of the Carolinas - Immediate Care Center - Eastside
- Urgent Care Clinic/Center
- Spartanburg, SC
- NPI 1083953491
-
dba Medical Group of the Carolinas-Medical Affiliates-Gaffney
- Internal Medicine Physician
- Spartanburg, SC
- NPI 1740688191
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
dba Medical Group of the Carolinas - Piedmont Women's Healthcare
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Wound Services
- General Acute Care Hospital
- Gaffney, SC
- NPI 1205307378
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1932657640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 HYATT ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293412643",
"telephone_number": "864-489-2400",
"fax_number": "864-488-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DIANNA",
"middle_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SC97646067",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SC9764J577",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4282",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SC97646084",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNA",
"last_name": "PETERSON",
"middle_name": "MICHELLE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gaffney, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.
- 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.