Mrs. Katherine Johnson Anderson
Katherine Johnson · Physician Assistant (Medical)

Address: 215 Halton Rd, Greenville, SC 29607-3509
Phone: 8644542700

Mrs. Katherine Johnson Anderson (NPI# 1043262983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1043262983
Entity Type Individual
Full Name Mrs. Katherine Johnson Anderson
Other Name Katherine Johnson
Credential PA
Gender Female
Practice Address 215 Halton Rd
Greenville
SC 29607-3509
Practice Telephone 8644542700
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Mailing Telephone 8647976328
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-05-17
Last Update Date 2016-05-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 971 SC

Other Provider Identifier

State Identifier Issuer Type Code
971 OTHER SC LIC.
SC 0259PA MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1235794512 Katherine Anderson Licensed Practical Nurse 220 W Charles St, Greenville, MI 48838-1144 2019-05-02
1023487436 Katherine Marie Anderson Nurse Practitioner 3500 Sw Frank Phillips, Bartlesville, OK 74006 2015-09-16
1275973851 Katherine Aurelia Anderson Surgery 2401 31st Street, Temple, TX 76508 2013-06-27
1821437831 Katherine Nicole Anderson Counselor 1721 W 33rd St Ste B, Edmond, OK 73013-3834 2013-06-24
1790916914 Katherine Anderson Occupational Therapist 125 Ocean Pkwy Apt 5j, Brooklyn, NY 11218-2522 2009-08-05
1821213422 Katherine L Anderson Social Worker 19907 N Us Highway 41, Lutz, FL 33549-4054 2007-04-17
1821148966 Katherine A Anderson Physical Therapist 1414 North Court Street, Circleville, OH 43113-1005 2007-01-11
1609859628 Katherine Jeanette Anderson Pharmacist 710 Sw Staley Dr, Pullman, WA 99163-2077 2005-11-23
1205494143 Katherine Ann Anderson Behavior Technician 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 2019-06-05
1003379116 Katherine Carlsen Anderson Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202-1239 2019-04-08
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Physician Overview

NPI 1043262983
PAC ID by PECOS 8325003668
Professional Enrollment ID I20041129000115
Full Name Katherine Johnson Anderson
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8642717761
Gender F
Credential PA
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8325950983
Number of Group Practice Members 1151
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420078 GHS GREENVILLE MEMORIAL HOSPITAL
420102 GHS PATEWOOD MEMORIAL HOSPITAL

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104116664 Jennifer C Whitmire Physician Assistant St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 2011-04-18
1306143219 Alexis Pierino Goss Physician Assistant 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 2011-02-13
1477888196 Johnny Johnson Physician Assistant 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 2009-10-14
1205915360 Dannie Burton Jonas Physician Assistant 505 Greenville Blvd Se, Greenville, NC 27858-6736 2006-11-02
1952324246 Toni Smith-whiteeagle Physician Assistant 5005 Live Oak St, Greenville, TX 75402 2006-07-26
1699719682 Gary Marc Trube Physician Assistant 800 Moye Blvd, Greenville, NC 27834-3777 2006-06-16
1255384335 Dean A Schrader Physician Assistant 8333 Crestview Dr, Greenville, MI 48838-8133 2006-05-18
1407808314 Eric E Evans Physician Assistant 150 E Arlington Blvd, Suite E, Greenville, NC 27858 2006-05-17
1891767398 Allen J Sours Jr. Physician Assistant Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 2006-02-07
1053383273 Zenith Nelson Physician Assistant Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 2006-02-02
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Office Location

Street Address 215 HALTON RD
City GREENVILLE
State SC
Zip Code 29607-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659692226 Philip Michael Way Family Medicine 215 Halton Rd, Greenville, SC 29607-3509 2010-06-17
1194057729 Emily Price Goforth Physician Assistant 215 Halton Rd, Greenville, SC 29607-3509 2010-02-08
1578590386 David Alan Hoenicke Family Medicine 215 Halton Rd, Greenville, SC 29607-3509 2006-06-27
1144256066 Patricia Ann Crawford Internal Medicine 215 Halton Rd, Greenville, SC 29607-3509 2006-06-23
1669418307 William Patrick Marshall Family Medicine 215 Halton Rd, Greenville, SC 29607-3509 2006-06-21
1891739504 Louis Patrick Browne Family Medicine 215 Halton Rd, Greenville, SC 29607-3509 2006-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457916561 After Hours Chiropractic LLC Chiropractor 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 2019-05-03
1952865289 Orthodontic Specialists of Carolina, PC Dentist 611 Haywood Road, Greenville, SC 29607 2019-01-31
1124502307 Martha Irby Home Health Aide 2320 E North St Rr 107, Greenville, SC 29607 2018-09-24
1780164541 Suval Psychiatric Services, Pa Clinic/Center 33 Market Point Dr Ste 2023, Greenville, SC 29607 2018-08-20
1083113963 Caroline Graham Nurse Practitioner 850 S Pleasantburg Dr, Greenville, SC 29607 2018-02-06
1710407333 Alexandria Victoria Yarborough Pharmacist 1211 Woodruff Road, Greenville, SC 29607 2017-06-24
1639607690 Lakia Downs Social Worker 2320 E North St Ste Gg8, Greenville, SC 29607 2017-06-02
1285171041 Chelsea Finley Occupational Therapist 151 Century Dr., 122f, Greenville, SC 29607 2017-01-31
1679928428 Stelina Jennings Nurse Practitioner 2 Innovation Drive Ste 400, Greenville, SC 29607 2016-04-29
1275994667 Michele Ann Balderson Social Worker 1350 Cleveland Street, Greenville, SC 29607 2016-03-11
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Competitor

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City GREENVILLE
Zip Code 29607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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