NPIMap

Organization Active NPI

Oak Street Health Physicians Group of South Carolina, LLC

  • Primary Care Clinic/Center
  • Greenville, SC
National Provider Identifier
1023614914
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA, LLC
Practice address
6119 White Horse Rd Ste 14
Greenville, SC 29611-3838
Phone
(312) 733-9730
NPI assigned
Dec 7, 2020
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Dr. Terrance Morton
Title
Cmo
Phone
(704) 607-4835

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

6119 White Horse Rd Ste 14
Greenville, SC 29611-3838

Mailing address

PO Box 740013
Atlanta, GA 30374-0013
Phone (773) 352-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303003162 SC Part B Supplier - Clinic/Group Practice 3375959075 Receives reassigned benefits from 41 practitioners
Practice locations: Charleston, SC; Spartanburg, SC; Rock Hill, SC; Greenville, SC; Columbia, SC; Cayce, SC

National Provider Directory

National Provider Directory

Locations

5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008

905 State St
Cayce, SC 29033
Phone (803) 832-4383

5110 Fairfield Rd
Columbia, SC 29203
Phone (803) 691-5650

6119 White Horse Rd
Greenville, SC 29611
Phone (864) 614-7001

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

4400 Dorchester Rd
Ste 117
North Charleston, SC 29405
Phone (843) 278-8291

1735 Heckle Blvd
Unit MS130
Rock Hill, SC 29732
Phone (803) 659-3444

1735 Heckle Blvd
Ste 130
Rock Hill, SC 29732

550 S Church St
Ste 4
Spartanburg, SC 29306
Phone (864) 774-7001

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1023614914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740013",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 WHITE HORSE RD STE 14",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113838",
            "telephone_number": "312-733-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "704-607-4835",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.