ALAN RANDALL ANDERSON M.D. NPI 1124175146

NPI Information

NPI: 1124175146
Provider Name: ALAN RANDALL ANDERSON, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
900 W FARIS RD
2ND FLOOR
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-8898
Get Directions

Alan Randall Anderson, M.D. is a pediatric hematology-oncology pediatrics in Greenville, SC with 23 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Alan Randall Anderson, M.D. NPI is 1124175146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

900 W FARIS RD
2ND FLOOR
GREENVILLE, SC
ZIP 29605-255
Phone: (864) 455-8898
Fax: (864) 241-9237

The NPI 1124175146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	24783	SOUTH CAROLINA	Yes
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	055084	GEORGIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	247833	MEDICAID	SOUTH CAROLINA
2	576007863054	OTHER	SOUTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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