Clemson University
NPI 1093990707 · Family Nurse Practitioner · Walhalla, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clemson University is a Family Nurse Practitioner organization in Walhalla, SC (NPI 1093990707).
Provider details
- NPI number
- 1093990707
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ronald Gimbel, Director(864) 656-1969
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Clemson University Clemson Rural Health
Additional practice locations (2)
- 101 Edwards HallClemson, SC 29634-0001Phone: (864) 656-1969Fax: (843) 985-9562
- 1181 Hutto StOrangeburg, SC 29118-1467Phone: (803) 516-4227Fax: (843) 985-9562
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Clemson University's NPI number?
- Clemson University's National Provider Identifier (NPI) is 1093990707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clemson University?
- Clemson University is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clemson University located?
- Clemson University's practice location on file with NPPES is 200 Booker Dr, Walhalla, SC 29691-2278.
- What is Clemson University's phone number?
- The practice phone number listed in the NPPES registry for Clemson University is (864) 656-1969.
- Does Clemson University accept Medicare?
- Clemson University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clemson University?
- The authorized official listed on Clemson University's NPPES record is Ronald Gimbel, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clemson University's NPI active?
- Yes — Clemson University's NPI (1093990707) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.