Clemson University
Clemson University is a healthcare organization registered as Family Nurse Practitioner in Walhalla, SC, holding Type 2 (organization) NPI 1093990707 since 2008. The authorized official on file is Ronald Gimbel, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093990707 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clemson University |
| Practice address | 200 BOOKER DR, Walhalla, SC, 29691 |
| Phone | 8646561969 |
| Fax | 8439859562 |
| Enumeration date | 2008-01-02 |
| Last updated in NPPES | 2025-12-15 |
Authorized official
| Name | Ronald Gimbel |
|---|---|
| Title | Director |
| Phone | 8646561969 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1885 | Medicaid | SC | — |
Copy-ready billing details
Provider: Clemson University NPI: 1093990707 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 200 BOOKER DR, Walhalla, SC, 29691
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669434437 | Thomas Kickham | Individual | General Practice Physician | Walhalla, SC |
| 1659381440 | Timothy Zeller | Individual | Family Medicine Physician | Walhalla, SC |
| 1588778146 | Michelle Deem | Individual | Family Nurse Practitioner | Walhalla, SC |
| 1518511229 | Christina Smith | Individual | Family Nurse Practitioner | Walhalla, SC |
| 1588211197 | Jacqueline Wiles | Individual | Family Nurse Practitioner | Walhalla, SC |
| 1730798521 | Brooke Brittain | Individual | Registered Dietitian | Walhalla, SC |
| 1881383099 | Abigail Morningstar | Individual | Registered Dietitian | Walhalla, SC |
| 1568345445 | Clemson University | Organization | Rural Health Clinic/Center | Walhalla, SC |
Verify this record
Cross-check NPI 1093990707 against the authoritative CMS record: view Clemson University on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Clemson University located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-15.