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NEETHU EDATHARA
NPI 1730020090
Student in an Organized Health Care Education/Training Program in Greer, SC

Active since April 02, 2026PECOS Enrolled
109 PHYSICIANS DR, GREER, SC 29650(864) 797-8800 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neethu Edathara NPPES

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

NEETHU EDATHARA (NPI 1730020090) is an individual student in an organized health care education/training program in Greer, South Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730020090
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNEETHU EDATHARA
Location Address109 PHYSICIANS DRGreer, SC 29650-2446
Mailing Address109 Physicians DrGreer, SC 29650-2446 · (864) 797-8800
Phone(864) 797-8800
Sole ProprietorYes
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1730020090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
109 PHYSICIANS DR, Greer, SC 29650
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neethu Edathara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA NIX COPLIN
Family Medicine
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-9150
STEPHANIE PARE COLLINGS DO
Psychiatry & Neurology (Psychiatry)
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-9170
SHADY AL KHATEEB
Psychiatry & Neurology (Psychiatry)
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-9171
MADISON BROOKE GRINDSTAFF D.O.
Psychiatry & Neurology (Neurology)
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-8800
CECILY THOMPSON
Psychiatry & Neurology (Neurology)
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-8856
MADDISON HUSSEY
Psychiatry & Neurology (Psychiatry)
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-9171
JASON CRAVER
Psychiatry & Neurology (Neurology)
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (864) 797-8856
MEGAN LEE ELLISON DO
Student in an Organized Health Care Education/Training Program
109 PHYSICIANS DR
GREER, SC 29650
Greenville County (520) 359-8850

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 Neethu Edathara's NPI number?

The NPI number for Neethu Edathara is 1730020090. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Neethu Edathara located?

Neethu Edathara practices at 109 Physicians Dr, Greer, SC 29650. The listed phone number is (864) 797-8800.

What is Neethu Edathara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Neethu Edathara enrolled in Medicare?

Yes. Neethu Edathara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neethu Edathara was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.