HEALTHWORKS MED GROUP OF SOUTH CAROLINA P C (NPI# 1124315817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124315817 |
Entity Type | Organization |
Organization Name | HEALTHWORKS MED GROUP OF SOUTH CAROLINA P C |
Other Organization Name | MICHELIN FAMILY HEALTH CENTER- DONALDSON CAMP |
Practice Address |
525 Michelin Rd Greenville SC 29605-6131 |
Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
Practice Telephone | 8644581376 |
Practice Fax Number | 8644581382 |
Mailing Telephone | 8644581376 |
Mailing Fax Number | 8644581382 |
Enumeration Date | 2011-07-01 |
Last Update Date | 2015-05-05 |
Authorized Official Name | JAMES THIEL (OWNER) |
Authorized Official Telephone | 6154686548 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Michelin Family Health Center- Donaldson Camp | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
1033638531 | Healthworks Med Group of South Carolina P C | Clinic/Center | 244 Terminal Rd Bldg 1045, Greenville, SC 29605-5508 | 2017-09-15 |
1295157139 | Healthworks Med Group of South Carolina P C | Clinic/Center | 300 Garlington Rd, Greenville, SC 29615-4614 | 2014-01-13 |
1336576610 | Healthworks Med Group of South Carolina P C | Clinic/Center | 3704 Louis Rich Rd, Newberry, SC 29108-1413 | 2013-10-02 |
1295034320 | Healthworks Med Group of South Carolina P C | General Practice | 448 Novelty Avenue, Hartsville, SC 29550 | 2011-03-15 |
1588972426 | Healthworks Med Group of South Carolina P C | Clinic/Center | 10 Parkway South, Greenville, SC 29615 | 2010-09-14 |
1770196495 | Healthworks Med Group of South Carolina P C | Clinic/Center | 172 Old Elloree Rd, Orangeburg, SC 29115-8461 | 2020-08-24 |
1952808974 | Healthworks Med Group of South Carolina P C | Clinic/Center | 10 Bib Way, Anderson, SC 29626 | 2018-04-06 |
1033655824 | Healthworks Med Group of South Carolina P C | Clinic/Center | 1785 New Cut Rd, Spartanburg, SC 29303-4740 | 2017-01-17 |
Street Address |
525 MICHELIN RD |
City | GREENVILLE |
State | SC |
Zip Code | 29605-6131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447459797 | Robin Ann Grimm | Nurse Practitioner | 525 Michelin Rd, Greenville, SC 29605-6131 | 2007-07-17 |
1285128462 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 525 Michelin Rd, Greenville, SC 29605 | 2018-06-20 |
1679828610 | Imc of South Carolina | Physical Therapist | 525 Michelin Rd, Greenville, SC 29605-6131 | 2012-07-16 |
1770804080 | Jennifer Maw Messervy | Nurse Practitioner | 525 Michelin Rd, Greenville, SC 29605 | 2010-06-21 |
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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1326353798 | Blaylock Medical Clinic Pa | Clinic/Center | 130 E Walker St, Greenville, MS 38701-4766 | 2010-08-10 |
1871826743 | Ambulatory Medicine Associates, LLC | Clinic/Center | 532 Sulphur Springs Rd, Greenville, SC 29617-6206 | 2009-09-10 |
1376798546 | Greenville Specialty Clinic | Clinic/Center | 1508 Hospital St, Greenville, MS 38703-3219 | 2008-12-01 |
1588835243 | Mauldin Medical Associates | Clinic/Center | 3443 Pelham Rd, Suite 200, Greenville, SC 29615-4178 | 2008-03-20 |
1831172279 | Mauldin Medical Associates, Pa | Clinic/Center | 545 W Butler Rd, Greenville, SC 29607-4833 | 2005-11-21 |
1679171995 | New Hope Medical Primary & Urgent Care Clinic, LLC | Clinic/Center | 585 Tennessee Gas Rd, Greenville, MS 38701-8143 | 2020-10-09 |
1417481474 | The Downtown Family Clinic, LLC | Clinic/Center | 345 Washington Ave, Greenville, MS 38701-3615 | 2017-04-17 |
1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29605 |
Please comment or provide details below to improve the information on HEALTHWORKS MED GROUP OF SOUTH CAROLINA P C.
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.