Individual provider Active NPI

Michelle Bruce Nobles, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Greenville, SC
National Provider Identifier
1992777007
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
23576 Issued in SC
Practice address
905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Phone
(864) 990-1910
Fax
(864) 990-1911
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 23576 SC Primary
Family Medicine Physician 207Q00000X 23576 SC

Addresses

Primary practice location

905 Verdae Blvd Ste 101
Greenville, SC 29607-4098

Mailing address

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

Other practice location 1

479 Hampton Dr
Spartanburg, SC 29306-5246
Phone (803) 387-4365

Other practice location 2

100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606

Other identifiers 1

IdentifierTypeStateIssuer
235766MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051230000279 SC Practitioner - Family Practice 1153343363 Reassigns benefits to 7 organizations
I20110126000135 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 1153343363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of South Carolina LLC 31 clinicians

Practice addresses (Care Compare)

550 S Church St
Suite 4
Spartanburg, SC 29306-3306
Phone (864) 774-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23576SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of South Carolina, LLC Family Medicine CurrentSince Apr 14, 2025 Accepting new patients
Self Medical Group CurrentSince Dec 1, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Lawton Indian Hospital CurrentSince Jul 27, 2020 Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Cherokee Medical Center Family Medicine Current Accepting new patients
Self Medical Group Current Accepting new patients
Spartanburg Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jun 26, 2018 Accepting new patients
Anmed Health Family Medicine CurrentSince Jan 15, 2017 Accepting new patients
Anmed Health Family Medicine CurrentSince Jan 15, 2017 Accepting new patients
Cherokee Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Cherokee Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Self Medical Group CurrentSince Dec 1, 2020 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Network Geriatric Services, PA Geriatric Medicine PastSince Apr 1, 2006 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

125 E Robinson St
Gaffney, SC 29340
Phone (864) 487-2710

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

3611 Pelham Rd
Greenville, SC 29615
Phone (864) 530-3500

102 Rockcreek Blvd
Greenwood, SC 29649
Phone (864) 725-5020

22580 Highway 76 E
Ste 300
Laurens, SC 29360
Phone (864) 725-4183

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

8311 Warren H Abernathy Hwy
#101
Spartanburg, SC 29301
Phone (864) 562-5150

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

550 S Church St
Ste 4
Spartanburg, SC 29306
Phone (864) 774-7001

8311 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 562-5100

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1992777007",
    "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": "905 VERDAE BLVD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074098",
            "telephone_number": "864-990-1910",
            "fax_number": "864-990-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Hampton Dr",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293065246",
            "country_code": "US",
            "telephone_number": "803-387-4365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Lake Traverse Dr",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572627046",
            "country_code": "US",
            "telephone_number": "605-698-7606",
            "fax_number": "605-742-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "MICHELLE",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "23576",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23576",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235766",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.