MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. (NPI# 1285128462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285128462 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. |
| Other Organization Name | GREENVILLE MICHELIN FAMILY HEALTH CENTER |
| Practice Address |
525 Michelin Rd Greenville SC 29605 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 8644581376 |
| Practice Fax Number | 8644581382 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Greenville Michelin Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364680 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 955 Boscobel Rd, Anderson, SC 29625-6704 | 2019-03-12 |
| 1598259772 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Parkway S, Greenville, SC 29615 | 2018-06-20 |
| 1083108260 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 1785 New Cut Rd, Spartanburg, SC 29303 | 2018-06-20 |
| 1336633510 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Bib Way, Anderson, SC 29626 | 2018-06-20 |
| 1548754724 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 2480 Two Notch Rd, Lexington, SC 29072 | 2018-06-20 |
| Street Address |
525 MICHELIN RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447459797 | Robin Ann Grimm | Nurse Practitioner | 525 Michelin Rd, Greenville, SC 29605-6131 | 2007-07-17 |
| 1679828610 | Imc of South Carolina | Physical Therapist | 525 Michelin Rd, Greenville, SC 29605-6131 | 2012-07-16 |
| 1124315817 | Healthworks Med Group of South Carolina P C | Clinic/Center | 525 Michelin Rd, Greenville, SC 29605-6131 | 2011-07-01 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1346608825 | American Family Care, Inc. | General Practice | 101 Paul Stabler Drive, Greenville, AL 36037-0000 | 2016-01-29 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| 1083918338 | Advanced Health and Physical Medicine Pllc | General Practice | 504-c Red Banks Rd, Greenville, NC 27858-5766 | 2010-12-30 |
| 1578885364 | St. Francis Physician Services Inc | General Practice | 2 Innovation Dr. Suite 120, Greenville, SC 29607-5262 | 2010-02-19 |
| 1164754487 | Murray Peeler Mckissick | General Practice | 245 Mcdaniel Ave, Greenville, SC 29601-3747 | 2010-02-11 |
| 1285886465 | Dominick Trinca | General Practice | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2008-10-19 |
| 1598977506 | Alan M Peabody | General Practice | 1212 Haywood Road, Bldg 200, Greenville, SC 29615 | 2007-05-03 |
| 1952331662 | Forrest A Pommerenke | General Practice | 1020 Grove Rd, Greenville, SC 29605-4649 | 2006-07-05 |
| 1942230321 | North Hills Medical Center | General Practice | 3904 S Highway 14, Greenville, SC 29615-6138 | 2006-07-03 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on MEDEXPRESS PRIMARY CARE 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.