Active NPI
Greenville ADHD Specialists, PA
- Family Medicine Physician
- Mauldin, SC
National Provider Identifier
1013330703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28013
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Mauldin, SC
- NPI 1811958051
-
- Pediatrics Physician
- Mauldin, SC
- NPI 1396764296
-
- Family Nurse Practitioner
- Mauldin, SC
- NPI 1447592472
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1912294562
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.