THE GREENVILLE CLINIC (NPI# 1003844978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003844978 |
Entity Type | Organization |
Organization Name | THE GREENVILLE CLINIC |
Practice Address |
1502 S Colorado St Greenville MS 38703-7219 |
Practice Telephone | 6623329872 |
Practice Fax Number | 6623329878 |
Mailing Telephone | 6623329872 |
Mailing Fax Number | 6623329878 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2008-02-11 |
Authorized Official Name | VANESSA PERKINS (ADMINISTRATIVE ASSISTANT) |
Authorized Official Telephone | 6623798141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | CLIA | 2500316731 | 01 |
MS | 9014413 | 05 | |
MS | RAILROAD MEDICARE | CD3504 | 01 |
Street Address |
1502 S COLORADO ST |
City | GREENVILLE |
State | MS |
Zip Code | 38703-7219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043250418 | Jackson Vamc | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-07 |
1376196238 | Willie Andrew Pole Jr. | Social Worker | 1502 S Colorado St, Greenville, MS 38703-7219 | 2019-07-19 |
1194211094 | Carly Maranne Hazzard | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2018-07-03 |
1992241269 | Medical Foundation of Central Ms Inc | Internal Medicine | 1502 S Colorado St, Greenville, MS 38703-7219 | 2017-01-11 |
1578016259 | Medical Foundation of Central Ms Inc | Internal Medicine | 1502 S Colorado St, Greenville, MS 38703-7219 | 2016-07-28 |
1861843690 | Patricia Ann Barber | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2016-06-22 |
1568848299 | Mary Riley | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2015-08-04 |
1144620592 | Kelli Bearden | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2014-09-03 |
1457798241 | Greenville Neuro Diagnostic Center, P.C. | Psychiatry & Neurology | 1502 S Colorado St, Greenville, MS 38703-7219 | 2013-06-03 |
1730446303 | Greenville Neurology Center, LLC | Psychiatry & Neurology | 1502 S Colorado St, Greenville, MS 38703-7219 | 2012-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
Find all providers in zip 38703 |
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 |
1710944749 | University Medical Group Department of Obgyn | Clinic/Center | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4247 | 2006-04-26 |
1669437083 | Upstate Urology and Associates, P.a. | Clinic/Center | 8 Memorial Medical Ct, Ste. 6, Greenville, SC 29605-4455 | 2006-04-19 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
Please comment or provide details below to improve the information on THE GREENVILLE CLINIC.
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.