MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. (NPI# 1598259772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598259772 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. |
| Other Organization Name | HNA MICHELIN FAMILY HEALTH CENTER |
| Practice Address |
10 Parkway S Greenville SC 29615 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 8644586933 |
| Practice Fax Number | 8644586888 |
| 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 |
|---|---|
| HNA 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 |
| 1285128462 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 525 Michelin Rd, Greenville, SC 29605 | 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 |
10 PARKWAY S |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124373162 | Imc of South Carolina | Physical Therapist | 10 Parkway S, Greenville, SC 29615-5096 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 | 29615 |
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.