POSITIVE INNERGY MEDICAL GROUP (NPI# 1558911677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558911677 |
| Entity Type | Organization |
| Organization Name | POSITIVE INNERGY MEDICAL GROUP |
| Practice Address |
26 Potomac Ave Greenville SC 29605-2118 |
| Mailing Address |
5461 Festival Ave Fairburn GA 30213-5502 |
| Practice Telephone | 7709900823 |
| Mailing Telephone | 7709900823 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | BRENT HORSFORD (OWNER) |
| Authorized Official Telephone | 7709900823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
26 POTOMAC AVE |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700346301 | Greenlife Wellness LLC | Clinic/Center | 527 Mills Ave Ste 201a, Greenville, SC 29605-5602 | 2019-03-21 |
| 1700357076 | Physicians Services Group, P.C. | Clinic/Center | 777 Lowndes Hill Rd, Bldg 2 Ste 101, Greenville, SC 29607 | 2018-12-16 |
| 1215403860 | Community Birth Group | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2018-10-22 |
| 1083167514 | Vecu Medical Group, Inc. | Clinic/Center | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2016-08-02 |
| 1437549896 | Vidant Medical Group Affiliates LLC | Clinic/Center | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-01-23 |
| 1679730998 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | W6981 Parkview Dr, Greenville, WI 54942 | 2008-05-22 |
| 1083814438 | Oaktree Medical Centre, PC | Clinic/Center | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-07-24 |
| 1477648731 | Vidant Medical Group LLC | Clinic/Center | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-10-04 |
| 1003844978 | The Greenville Clinic | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-29 |
| 1710944749 | University Medical Group Department of Obgyn | Clinic/Center | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4247 | 2006-04-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on POSITIVE INNERGY MEDICAL GROUP.
| 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.