GREENWOOD GENETICS CENTER, INC. (NPI# 1831318856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831318856 |
| Entity Type | Organization |
| Organization Name | GREENWOOD GENETICS CENTER, INC. |
| Practice Address |
14 Edgewood Dr Greenville SC 29605-4246 |
| Mailing Address |
101 Gregor Mendel Cir Greenwood SC 29646-2316 |
| Practice Telephone | 8642507944 |
| Practice Fax Number | 8642509582 |
| Mailing Telephone | 8643881072 |
| Mailing Fax Number | 8643881052 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-01-29 |
| 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 | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | ========= | SC | Other Service Providers |
| 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 |
| 1043431851 | Greenwood Genetics Center, Inc. | Medical Genetics, Ph.D. Medical Genetics | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2007-05-01 |
| Street Address |
14 EDGEWOOD DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382642 | Joseph S Geer Jr. | Medical Genetics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2005-11-02 |
| 1336770346 | Camerun Christopher Washington | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2020-01-29 |
| 1346801164 | Laura Devereaux Gardner | Physician Assistant | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2019-06-24 |
| 1417415928 | Laura Beamer | Psychologist | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2019-03-05 |
| 1699253294 | Gregory Smith | Nurse Practitioner | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2018-08-06 |
| 1659865426 | Julia Ann Russo | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2018-06-15 |
| 1720507478 | Anna Childers | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2017-09-13 |
| 1184171548 | Elizabeth Francisco | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605 | 2016-09-02 |
| 1386084929 | Jessica Davis | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2013-06-27 |
| 1477872810 | Caroline Black Buchanan | Pediatrics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2010-05-25 |
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|---|---|---|---|---|
| 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 | 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 |
|---|---|---|---|---|
| 1851382642 | Joseph S Geer Jr. | Medical Genetics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2005-11-02 |
| 1427119080 | Margie L Jaworski | Medical Genetics | 2150 Herbert Ct, Ecu Physicians Pediatric Genetics, Greenville, NC 27834-3736 | 2006-12-13 |
| 1659362390 | David B Everman | Medical Genetics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2005-11-02 |
| 1760473524 | Richard Curtis Rogers | Medical Genetics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2005-11-02 |
| 1366433930 | Robert Anthony Saul | Medical Genetics | 20 Medical Ridge Dr, Greenville, SC 29605-4267 | 2005-11-02 |
| 1194716936 | Karen Russell Schmidt | Medical Genetics | 600 Moye Blvd, Ecu Physicians Pediatric Genetics, Greenville, NC 27834-4300 | 2005-11-01 |
| 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 |
| 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 |
| 1972554897 | Neena L. Champaigne | Medical Genetics | 106 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.