GREENWOOD FAMILY PRACTICE, INC. (NPI# 1447463179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447463179 |
| Entity Type | Organization |
| Organization Name | GREENWOOD FAMILY PRACTICE, INC. |
| Practice Address |
1226 Spring St Greenwood SC 29646-3835 |
| Practice Telephone | 8642236621 |
| Practice Fax Number | 8642236659 |
| Mailing Telephone | 8642236621 |
| Mailing Fax Number | 8642236659 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JED ALAN GRAHAM (VP) |
| Authorized Official Telephone | 8642236621 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 23953 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPI | 1417972548 | 01 |
| SC | DEA | BG6816269 | 01 |
| SC | PHARMACY NPI# | 1184844458 | 01 |
| SC | NCPDP# | 4226824 | 01 |
| SC | 7DP004 | 05 | |
| SC | SC LICENSE# | 236953 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750489027 | Greenwood Family Practice, Inc. | Family Medicine | 805 Montague Ave Ste A, Greenwood, SC 29649-1464 | 2006-09-20 |
| Street Address |
1226 SPRING ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184844458 | Greenwood Family Practice Inc | Pharmacy | 1226 Spring St, Greenwood, SC 29646-3835 | 2007-04-27 |
| 1417582503 | Self Regional Healthcare | Registered Nurse | 1226 Spring St, Greenwood, SC 29646-3835 | 2020-03-09 |
| 1427683986 | Kathy Smith | Registered Nurse | 1226 Spring St, Greenwood, SC 29646-3835 | 2020-03-05 |
| 1770118242 | Karen Lynn Martin | Registered Nurse | 1226 Spring St, Greenwood, SC 29646-3835 | 2020-03-05 |
| 1679108245 | Brittany Hill | Registered Nurse | 1226 Spring St, Greenwood, SC 29646-3835 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831673003 | Franciscan Health Olympia Fields & Chicago Heights | Durable Medical Equipment & Medical Supplies | 1040 Greenwood Springs Blvd Ste 2c, Greenwood, IN 46143-7975 | 2018-09-24 |
| 1790297836 | Richard Bador Brooks | Durable Medical Equipment & Medical Supplies | 637 Brookview Dr, Greenwood, IN 46142-1802 | 2017-10-30 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1770960247 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 300 Bypass 25 Ne, Greenwood, SC 29646-3009 | 2015-05-04 |
| 1811388630 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 882 S State Road 135, Greenwood, IN 46143-9412 | 2015-02-16 |
| 1760721666 | Diaper Man LLC | Durable Medical Equipment & Medical Supplies | 400 E Jefferson Ave, Greenwood, MS 38930-3619 | 2013-02-12 |
| 1437498672 | Home Health Depot, Inc. | Durable Medical Equipment & Medical Supplies | 1052 Greenwood Springs Blvd, Suite H, Greenwood, IN 46143-6895 | 2013-02-07 |
| 1093085896 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 150 S Marlin Dr, Greenwood, IN 46142-1451 | 2012-01-10 |
| 1891002663 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 402 Market Place Dr., Greenwood, IN 46142 | 2010-09-01 |
| 1316279979 | Greenwood Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 108 Enterprise Ct, Greenwood, SC 29649-1666 | 2010-02-08 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.