Greenwood Genetics Center, Inc.

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

Legal business name

GREENWOOD GENETICS CENTER, INC.

Practice address

805 Pamplico Hwy
Florence, SC 29505-6047

Phone

(843) 664-2983

Fax

(843) 468-2099

NPI assigned

May 1, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Pridmore

Title

Coo

Phone

(864) 941-8100

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • North Charleston, SC
  • NPI 1104013663

  O20031226000075

  Same enrollment
• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • Columbia, SC
  • NPI 1225259039

  O20031226000075

  Same enrollment
• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • Greenwood, SC
  • NPI 1649261462

  O20031226000075

  Same enrollment
• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • Greenville, SC
  • NPI 1831318856

  O20031226000075

  Same enrollment

Tax ID family

Greenwood Genetic Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Greenwood Genetic Center Lab

  • Clinical Medical Laboratory
  • Greenwood, SC
  • NPI 1669463014
  NPD tax ID
• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • North Charleston, SC
  • NPI 1104013663
  NPD tax ID
• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • Columbia, SC
  • NPI 1225259039
  NPD tax ID
• Greenwood Genetics Center, Inc.

  • Clinical Genetics (M.D.) Physician
  • Greenville, SC
  • NPI 1831318856
  NPD tax ID

Practitioners 3

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.

• Wesley G Patterson, PA-C

  • Physician Assistant
  • Greenwood, SC
  • NPI 1295127504
  NPD
• Richard J Schroer, MD

  • Clinical Genetics (M.D.) Physician
  • North Charleston, SC
  • NPI 1669463220
  NPD
• Steven A Skinner, MD

  • Clinical Genetics (M.D.) Physician
  • Greenwood, SC
  • NPI 1528059292
  NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043431851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462316",
            "telephone_number": "864-388-1072",
            "fax_number": "864-388-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056047",
            "telephone_number": "843-664-2983",
            "fax_number": "843-468-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD GENETICS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "PRIDMORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "864-941-8100"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2005",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip H Greenberg, M.D.
• Stuart A Greenberg, MD
• Howard Nobles Greene, M.D.
• Ralph Emerson Greene III, CRNA
• Roberta Greene, COTA
• Zachary Bruce Greenwood
• Gregory V Browning MD,PA.
• Diamond Gregory
• Philip Lide Gregory, PT, DPT, CSCS
• Griffin Plastic Surgery PC

• Clinical Genetics (M.D.) Physician in Florence, SC
• Providers in Florence, SC by specialty
• Clinical Genetics (M.D.) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.