Individual provider Active NPI

Dianna Michelle Perry, NP

  • Family Nurse Practitioner
  • Gaffney, SC
National Provider Identifier
1932657640
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20475 Issued in SC
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 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

IdentifierTypeStateIssuer
SC97646067OtherSCMEDICARE PIN
SC9764J577OtherSCMEDICARE PIN
NP4282MedicaidSC
SC97646084OtherSCMEDICARE PIN

Other names 1

  • Dianna Michelle Peterson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215000678 SC Practitioner - Nurse Practitioner 7214217058 Reassigns benefits to 3 organizations

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
Cherokee Medical CenterGroup PAC ID 5991041212, 38 clinicians

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

LicenseStateTypeSpecialty
20475SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Dec 1, 2019 Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Cherokee Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 1, 2019 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.