Organization Active NPI

Greenville ADHD Specialists, PA

  • Family Medicine Physician
  • Mauldin, SC
National Provider Identifier
1013330703
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28013 Issued in SC
Legal business name
GREENVILLE ADHD SPECIALISTS, PA
Practice address
211 E Butler Rd Ste C1
Mauldin, SC 29662
Phone
(864) 305-1662
Fax
(864) 603-2067
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Woods
Title
Practice Manager
Phone
(864) 305-1662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 28013 SC Primary

Addresses

Primary practice location

211 E Butler Rd Ste C1
Mauldin, SC 29662

Mailing address

211 E Butler Rd
Suite C1
Mauldin, SC 29662-2169
Phone (864) 305-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140512000213 SC Part B Supplier - Clinic/Group Practice 1557594850 Receives reassigned benefits from 2 practitioners
Practice locations: Mauldin, SC

National Provider Directory

National Provider Directory

Locations

211 E Butler Rd
Ste C1
Mauldin, SC 29662
Phone (864) 305-1662

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1013330703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD",
            "address_2": "SUITE C1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622169",
            "telephone_number": "864-305-1662",
            "fax_number": "864-603-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD STE C1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "29662",
            "telephone_number": "864-305-1662",
            "fax_number": "864-603-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE ADHD SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-305-1662"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "28013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.