JEFFREY AUSTIN GERAC (NPI# 1467551788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467551788 |
| Entity Type | Individual |
| Full Name | JEFFREY AUSTIN GERAC |
| Credential | MD |
| Practice Address |
701 Grove Rd 5th Floor Greenville SC 29605-5611 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644554411 |
| Practice Fax Number | 8644554480 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
27063 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 270637 | 05 | |
| SC | BCBS OF SC | 576007863095 | 01 |
| SC | RR MEDICARE | P00660915 | 01 |
| Street Address |
701 GROVE RD 5TH FLOOR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002807 | Patricia A Stawaisz | Nurse Anesthetist, Certified Registered | 701 Grove Rd, Greenville, SC 29605-5611 | 2005-06-09 |
| 1851992648 | Sarah Sosebee | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-06 |
| 1942801097 | Kristin Cherie Davis | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1679174650 | Kristin Welborn | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1407457666 | Carmen Michele Faulkner-fennell | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-04 |
| 1134720568 | Amanda Parker | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-03 |
| 1053911693 | Ryan Walter Ridgeway | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-30 |
| 1891395083 | Tyler Kraft | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1912507062 | Courtney Danielle Reddig | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1063012128 | Adrienne Eubanks Bundrick | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992746143 | David A Goff | Internal Medicine | 600 Moye Blvd. 3e-139 Brody Medical Bld., Brody School of Medicine, Ecu, Greenville, NC 27834 | 2006-06-09 |
| 1467081182 | Caleigh Kendall Cole | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-04 |
| 1871972877 | Manuel Eulysses Izquierdo | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-05-22 |
| 1033300215 | Praveena Cheruvu | Internal Medicine | 1111 Sweitzer St, Suite C, Greenville, OH 45331 | 2007-08-05 |
| 1326032046 | Anne Elizabeth Borwick | Internal Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295856557 | Gossie Colette Heath Mathis | Internal Medicine | 130 Plaza Cir, Santee, SC 29142-9630 | 2007-04-03 |
| 1790781938 | Indra Sriram | Internal Medicine | 168 Carolina Ridge Dr, Columbia, SC 29229-7396 | 2005-06-22 |
| 1922235787 | Candice A Thornton | Internal Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2009-06-18 |
| 1851550487 | Carole Irene Mercer | Internal Medicine | 312 Harrison Bridge Rd, Simpsonville, SC 29680 | 2008-06-09 |
| 1104025782 | Prishal Chetty Holloway | Internal Medicine | 1228 Harden St, Columbia, SC 29204-1800 | 2007-07-13 |
| 1306946561 | Heather Alexis Moreira | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-25 |
| 1396845103 | Stefanie Marie Putnam | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-22 |
| 1902906712 | Jeremy Michael Byrd | Internal Medicine | 727 Se Main St, Suite 320, Simpsonville, SC 29681-3247 | 2006-09-22 |
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on JEFFREY AUSTIN GERAC.
| 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.