GREENVILLE HEALTH SYSTEM (NPI# 1952351249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952351249 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HEALTH SYSTEM |
| Other Organization Name | GHS ROGER C PEACE - TBI |
| Practice Address |
100 Augusta St Greenville SC 29601-3504 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644552600 |
| Mailing Telephone | 8647976307 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MICHAEL C RIORDAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8647977808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CIGNA | 1137663 | 01 |
| SC | AETNA | 7202309 | 01 |
| SC | GP2654 | 05 | |
| SC | SELECT HEALTH | 20018231 | 01 |
| Other Name | Type Code |
|---|---|
| GHS Roger C Peace - TBI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952588 | Greenville Health System | PACE Provider Organization | 32 Stoney Point Dr, Greenville, SC 29605-4628 | 2016-06-06 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1770903833 | Greenville Health System | General Acute Care Hospital | 13 Edgewood Dr, Greenville, SC 29605-4235 | 2014-04-16 |
| 1457771511 | Greenville Health System | General Acute Care Hospital | 1120 Grove Rd Ste B, Greenville, SC 29605-4652 | 2014-04-16 |
| 1679992838 | Greenville Health System | General Acute Care Hospital | 719a Se Main St, Simpsonville, SC 29681-3237 | 2014-04-15 |
| 1467871624 | Greenville Health System | General Acute Care Hospital | 109 Fleetwood Dr Ste A, Easley, SC 29640-2019 | 2014-04-15 |
| 1992120851 | Greenville Health System | General Acute Care Hospital | 9 Doctors Dr, Greenville, SC 29605-4266 | 2014-02-28 |
| 1568532513 | Greenville Health System | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2006-11-08 |
| 1962410845 | Greenville Health System | Skilled Nursing Facility | 101 Cottage Creek Cir, Greer, SC 29650-2438 | 2006-08-04 |
| 1811936008 | Greenville Health System | Local Education Agency (LEA) | 875 W Faris Rd, Greenville, SC 29605-4254 | 2006-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREENVILLE HEALTH SYSTEM | 300 E Mcbee Ave Ste 302, Greenville, SC 29601-2899 |
| Street Address |
100 AUGUSTA ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338988 | Catherine Michelle Barbuscak | Psychologist | 100 Augusta St, Greenville, SC 29601-3504 | 2020-08-31 |
| 1861947756 | Prisma Health-upstate | Clinic/Center | 100 Augusta St, Greenville, SC 29601-3504 | 2016-08-20 |
| 1437545373 | Joseph Kent Hammond | Clinical Neuropsychologist | 100 Augusta St, Greenville, SC 29601-3504 | 2015-04-07 |
| 1407900632 | Rebecca Wagner | Clinical Neuropsychologist | 100 Augusta St, Greenville, SC 29601-3504 | 2007-01-23 |
| 1043362833 | Sheldon Lyle Herring | Clinical Neuropsychologist | 100 Augusta St, Greenville, SC 29601-3504 | 2007-01-18 |
| 1821140633 | Anita Dearing Mcquillen | Clinical Neuropsychologist | 100 Augusta St, Greenville, SC 29601-3504 | 2007-01-18 |
| 1598757064 | David L Klein | Clinical Neuropsychologist | 100 Augusta St, Greenville, SC 29601-3504 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861947756 | Prisma Health-upstate | Clinic/Center | 100 Augusta St, Greenville, SC 29601-3504 | 2016-08-20 |
| 1124209523 | Greenville Wellness Center, LLP | Clinic/Center | 4006 Wellington St, Suite 110, Greenville, TX 75401-7828 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033181110 | Premier Physical Therapy | Clinic/Center | 2070 Northbrook Blvd., Suite B6, North Charleston, SC 29406-9252 | 2006-02-03 |
| 1972590156 | Rock Hill Medserve LLC | Clinic/Center | 420 S Herlong Ave, Suite 102, Rock Hill, SC 29732-9810 | 2005-10-03 |
| 1881196186 | Shavan, LLC | Clinic/Center | 127 S Herlong Ave, Rock Hill, SC 29732-1100 | 2018-03-02 |
| 1972961910 | Tidelands Rehabilitation Group LLC | Clinic/Center | 4000 Faber Place Dr, Suite 300, North Charleston, SC 29405-8585 | 2016-02-05 |
| 1235272931 | Acsr, Inc. | Clinic/Center | 104 Springhall Dr, Goose Creek, SC 29445-5335 | 2007-02-14 |
| 1851445134 | Katie Cutie Inc. | Clinic/Center | 103 3rd St E, Hampton, SC 29924-2511 | 2007-01-23 |
| 1689668428 | Home Health Companion Services of South Carolina Inc | Clinic/Center | 1668 Herlong Ct, Rock Hill, SC 29732-1183 | 2005-09-08 |
| City | GREENVILLE |
| Zip Code | 29601 |
Please comment or provide details below to improve the information on GREENVILLE HEALTH SYSTEM.
| 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.