PIEDMONT INTERNAL MEDICINE OF GREENWOOD, P.A. (NPI# 1760786230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760786230 |
Entity Type | Organization |
Organization Name | PIEDMONT INTERNAL MEDICINE OF GREENWOOD, P.A. |
Practice Address |
104 Liner Dr Greenwood SC 29646-2310 |
Practice Telephone | 8642271115 |
Practice Fax Number | 8642272046 |
Mailing Telephone | 8642271115 |
Mailing Fax Number | 8642272046 |
Enumeration Date | 2010-12-27 |
Last Update Date | 2010-12-27 |
Authorized Official Name | DR. JOHN W HOLMAN (PRESIDENT) |
Authorized Official Telephone | 8642271115 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F549 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NPI | 1487837514 | 01 |
Street Address |
104 LINER DR |
City | GREENWOOD |
State | SC |
Zip Code | 29646-2310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952397085 | Orr Mcclentic Cobb Jr. | Internal Medicine | 104 Liner Dr, Greenwood, SC 29646-2310 | 2005-09-23 |
1487837514 | Ellen V Rhodes | Nurse Practitioner | 104 Liner Dr, Greenwood, SC 29646-2310 | 2007-12-12 |
1265429492 | Russell D Hall | Internal Medicine | 104 Liner Dr, Greenwood, SC 29646-2310 | 2005-10-03 |
1528055084 | Piedmont Internal Med Pa | Internal Medicine | 104 Liner Dr, Greenwood, SC 29646-2310 | 2005-09-30 |
1922095405 | John W Holman | Internal Medicine | 104 Liner Dr, Greenwood, SC 29646 | 2005-09-30 |
1942296074 | Samuel T Burnett IIi | Internal Medicine | 104 Liner Dr, Greenwood, SC 29646-2310 | 2005-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
Find all providers in zip 29646 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801335591 | Susan Elizabeth Sipes | Nurse Practitioner | 533 E County Line Rd Ste 201, Greenwood, IN 46143-1074 | 2017-02-15 |
1417304734 | Kelly Ardis | Nurse Practitioner | 216 Andrews Ave, Greenwood, SC 29646-2107 | 2016-05-17 |
1689183246 | Chakita Lavet Beverly | Nurse Practitioner | 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 | 2017-09-27 |
1073044954 | Caitlin Elizabeth Luebcke | Nurse Practitioner | 701 E County Line Rd, #101, Greenwood, IN 46143-1072 | 2017-03-23 |
1083096465 | Courtney Nelson | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2015-06-23 |
1871900498 | Stacey Michelle Engel | Nurse Practitioner | 821 N State Road 135, Greenwood, IN 46142-1314 | 2014-07-15 |
1619225430 | Elizabeth Corley Davenport-fox | Nurse Practitioner | 517 Puckett Ferry Rd, Greenwood, SC 29649 | 2012-08-28 |
1285914564 | Abigail L Strehle | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2011-08-18 |
1063652717 | Leslie Mactaggart Myers | Nurse Practitioner | 1029 Edgefield St, Greenwood, SC 29646-3205 | 2009-02-20 |
1790973790 | Terry Ann Forss | Nurse Practitioner | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2007-10-04 |
Find all providers in GREENWOOD |
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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.