GREENWOOD GENETICS CENTER, INC. (NPI# 1043431851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043431851 |
| Entity Type | Organization |
| Organization Name | GREENWOOD GENETICS CENTER, INC. |
| Practice Address |
805 Pamplico Hwy Florence SC 29505-6047 |
| Mailing Address |
101 Gregor Mendel Cir Greenwood SC 29646-2316 |
| Practice Telephone | 8436642983 |
| Practice Fax Number | 8434682099 |
| Mailing Telephone | 8643881072 |
| Mailing Fax Number | 8643881052 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | MRS. DAWN PUDERBAUGH HODGES (ADMINISTRATOR) |
| Authorized Official Telephone | 8649418100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | ========= | SC | Other Service Providers |
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA2005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261462 | Greenwood Genetics Center, Inc. | Pediatrics | 106 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2005-11-01 |
| 1104013663 | Greenwood Genetics Center, Inc. | Pediatrics | 3520 W Montague Ave Ste 104, North Charleston, SC 29418-6083 | 2007-09-28 |
| 1225259039 | Greenwood Genetics Center, Inc. | Medical Genetics, Ph.D. Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2007-05-01 |
| 1831318856 | Greenwood Genetics Center, Inc. | Pediatrics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2007-04-25 |
| Street Address |
805 PAMPLICO HWY |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610976 | Steven M Halus | Emergency Medicine | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2005-06-24 |
| 1992303069 | Martin Francis Powers Jr. | Nurse Anesthetist, Certified Registered | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2020-10-12 |
| 1073134888 | Chapin Elizabeth Ensminger | Nurse Practitioner | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2020-05-04 |
| 1699317743 | Rebecca Widel | Nurse Practitioner | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2019-10-10 |
| 1346881034 | Latosha Epps | Registered Nurse | 805 Pamplico Hwy, Florence, SC 29505 | 2019-10-03 |
| 1184197683 | Medical University Hospital Authority | General Acute Care Hospital | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2019-01-07 |
| 1558880658 | Joseph Fraser | Physical Therapist | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-09-11 |
| 1255857280 | Qhg of South Carolina Inc | Clinical Medical Laboratory | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-08-22 |
| 1083148654 | Maria Eleonor Magno Rivera | Internal Medicine | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-04-20 |
| 1154853794 | Kristin Graham Dubose | Nurse Practitioner | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922087162 | Barbara L Gordon | Medical Genetics | 101 Gregor Mendel Cir, Greenwood, SC 29646-2316 | 2006-01-16 |
| 1477544112 | Randall S Colby | Medical Genetics | 115 Atrium Way, Suite 120, Columbia, SC 29223-6371 | 2005-11-02 |
| 1851382642 | Joseph S Geer Jr. | Medical Genetics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2005-11-02 |
| 1184615825 | Lola B Clarkson | Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2005-11-02 |
| 1407847296 | Michael J Lyons | Medical Genetics | 3520 W Montague Ave Ste 104, North Charleston, SC 29418-6083 | 2005-11-02 |
| 1447246673 | Steven Dennis Shapiro | Medical Genetics | 1483 Tobias Gadson Blvd, Ste 102, Charleston, SC 29407-8702 | 2005-09-22 |
| 1619255445 | Swetha Krishnamurthi | Medical Genetics | 101 Gregor Mendel Cir, Greenwood, SC 29646-2316 | 2011-07-27 |
| 1649488164 | Yuri A Zarate | Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2007-05-18 |
| 1164518494 | Eloise J. Prijoles | Medical Genetics | 1911 Thurmond Mall, Columbia, SC 29201-2375 | 2006-10-05 |
| 1306954268 | Gurpur Shashidhar Pai | Medical Genetics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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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.