PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC
NPI 1649875816
Otolaryngology in Greenville, SC

Q: What is Privia Medical Group South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since December 03, 2020

1 DOCTORS DR, GREENVILLE, SC 29605(864) 572-7001(864) 412-0436 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2023, Jun 1, 2021, Mar 8, 2021 and 1 more (4 updates tracked since 2020).

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About Privia Medical Group South Carolina, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC (NPI 1649875816) is a healthcare organization registered as an otolaryngology in Greenville, South Carolina and active in the NPI registry since December 2020. The organization lists Robert Osborne Brown, Md-greenville Ent & Allergy Assoc., as its authorized official.

NPPES Registry Identity

NPI1649875816

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NamePRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC

Location Address1 DOCTORS DRGreenville, SC 29605-4266

Mailing Address1 Doctors DrGreenville, SC 29605-4266 · (864) 572-7001 · Fax (864) 412-0436

Phone(864) 572-7001

Fax(864) 412-0436

Organization SubpartNo

Authorized OfficialRobert Osborne BrownMd-greenville Ent & Allergy Assoc. · (833) 450-0514

Enumeration DateDecember 3, 2020

Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1649875816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X

Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X

Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X

1 DOCTORS DR, Greenville, SC 29605

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Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Privia Medical Group South Carolina, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 24 clinicians reassign Medicare billing to Privia Medical Group South Carolina, LLC, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Otolaryngology7

Qualified Audiologist7

Qualified Speech Language Pathologist5

Family Practice2

Nurse Practitioner2

Internal Medicine1

Nearest to this location (20)

See all 24

Marisa Carrozza, AU.D.

Qualified Audiologist

NPI 1124791314

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ Accepts MedicareSame address

Michael Cooter, M.D.

Otolaryngology

NPI 1326094046

1 DOCTORS DRIVE
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Judith Defoor, CCC-SLP

Qualified Speech Language Pathologist

NPI 1194551986

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ Accepts MedicareSame address

Leighanne Dorton, M.D.

Otolaryngology

NPI 1164687604

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Robert Eller, MD

Otolaryngology

NPI 1164482683

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

William Frazier, M.D.

Otolaryngology

NPI 1700069648

1 DOCTORS DRIVE
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Emily Herndon, FNP

Nurse Practitioner

NPI 1457905010

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Christina Likes, SLP

Qualified Speech Language Pathologist

NPI 1649396136

1 DOCTORS DR
Greenville, SC 29605

(843) 574-5693

✔ Accepts MedicareSame address

Patrick Mclear, M.D.

Otolaryngology

NPI 1265488985

1 DOCTORS DRIVE
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Andrew Rampey, M.D.

Otolaryngology

NPI 1306055702

1 DOCTORS DRIVE
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Charles Smith, M.D.

Otolaryngology

NPI 1518914993

1 DOCTORS DRIVE
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Justin Tesh, AU.D.

Qualified Audiologist

NPI 1598112534

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ Accepts MedicareSame address

Anne Thompson, FNP-C

Nurse Practitioner

NPI 1518467430

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ PECOS✔ Accepts MedicareSame address

Emily Young, MS, SLP

Qualified Speech Language Pathologist

NPI 1912410507

1 DOCTORS DR
Greenville, SC 29605

(864) 572-7001

✔ Accepts MedicareSame address

Emily Chamberlain, AUD

Qualified Audiologist

NPI 1225683220

200 PATEWOOD DR STE B400
Greenville, SC 29615

(864) 454-4368

✔ Accepts Medicare5.6 mi

Lisa Barksdale, SLP

Qualified Speech Language Pathologist

NPI 1528458353

200 PATEWOOD DR SUITE B400
Greenville, SC 29615

(864) 454-4368

✔ Accepts Medicare5.7 mi

Alissa Yeargin, SLP

Qualified Speech Language Pathologist

NPI 1639443302

200 PATEWOOD DR SUITE B400
Greenville, SC 29615

(864) 454-4368

✔ Accepts Medicare5.7 mi

Susan Valenti, AUD

Qualified Audiologist

NPI 1477726065

325 MEDICAL PKWY STE 250
Greer, SC 29650

(864) 797-9080

✔ Accepts Medicare12 mi

Emerald Lauzon, AUD

Qualified Audiologist

NPI 1063860989

325 MEDICAL PKWY STE 250
Greer, SC 29650

(864) 797-9080

✔ Accepts Medicare12 mi

Alexandra Taylor, AU.D

Qualified Audiologist

NPI 1558853101

1065 HENDERSONVILLE RD
Asheville, NC 28803

(828) 254-3517

✔ Accepts Medicare50 mi

See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group South Carolina, LLC's NPI number?

The NPI number for Privia Medical Group South Carolina, LLC is 1649875816. It was assigned to this organization in the NPPES registry on December 3, 2020.

Where is Privia Medical Group South Carolina, LLC located?

Privia Medical Group South Carolina, LLC is located at 1 Doctors Dr, Greenville, SC 29605. The listed phone number is (864) 572-7001.

What is Privia Medical Group South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Privia Medical Group South Carolina, LLC enrolled in Medicare?

Yes. Privia Medical Group South Carolina, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Privia Medical Group South Carolina, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Privia Medical Group South Carolina, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (7), Qualified Audiologist (7) and Qualified Speech Language Pathologist (5). Of these, 14 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Privia Medical Group South Carolina, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Privia Medical Group South Carolina, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Privia Medical Group South Carolina, LLC was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.