Active NPI
Michelle Bruce Nobles, MD
- Geriatric Medicine (Family Medicine) Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 23576
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235766 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051230000279 | SC | Practitioner - Family Practice | 1153343363 | Reassigns benefits to 7 organizations |
| I20110126000135 | TX | Practitioner - Family Practice | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23576 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of South Carolina, LLC | Family Medicine | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | 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 | Current | Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Cherokee Medical Center | Current | Accepting new patients | |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Cherokee Medical Center | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Past | Accepting new patients | |
| Network Geriatric Services, PA | Geriatric Medicine | Past | 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.
-
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1023614914
Family Medicine, SC
-
- Primary Care Nurse Practitioner
- Bennettsville, SC
- NPI 1295332690
SC
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
SC
-
- Family Medicine Physician
- Boiling Springs, SC
- NPI 1235170077
Family Medicine, SC
-
- Rural Health Clinic/Center
- Gaffney, SC
- NPI 1265073381
-
- Obstetrics & Gynecology Physician
- Gaffney, SC
- NPI 1265083836
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.