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AUSTIN DETAVIS
NPI 1952006603
Psychiatry & Neurology - Neurology in Greer, SC

Active since April 03, 2023PECOS Enrolled
109 PHYSICIANS DR, GREER, SC 29650(864) 797-8856 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Apr 3, 2023 (2 updates tracked since 2023).

About Austin Detavis NPPES

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

AUSTIN DETAVIS (NPI 1952006603) is an individual neurology provider in Greer, South Carolina, licensed in South Carolina (LL89914) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952006603
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameAUSTIN DETAVIS
Location Address109 PHYSICIANS DRGreer, SC 29650-2446
Mailing Address109 Physicians DrGreer, SC 29650-2446
Phone(864) 797-8856
Sole ProprietorYes
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1952006603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in SC · LL89914
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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)

Austin Detavis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Austin Detavis's NPI number?

The NPI number for Austin Detavis is 1952006603. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Austin Detavis located?

Austin Detavis practices at 109 Physicians Dr, Greer, SC 29650. The listed phone number is (864) 797-8856.

What is Austin Detavis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Austin Detavis enrolled in Medicare?

Yes. Austin Detavis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Detavis was last updated on July 12, 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.