NPIMap

Organization Active NPI

New Horizon Family Health Services, Inc.

Doing business as New Horizon Family Health Services - Main Site

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
National Provider Identifier
1043495526
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEW HORIZON FAMILY HEALTH SERVICES, INC.
Doing business as
New Horizon Family Health Services - Main Site
Practice address
975 W Faris Rd
Greenville, SC 29605-4241
Phone
(864) 729-8330
Fax
(864) 751-0479
NPI assigned
Jan 3, 2008
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW HORIZON FAMILY HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
J Brandon Gaffney
Title
Ceo & President
Phone
(864) 729-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

975 W Faris Rd
Greenville, SC 29605-4241

Mailing address

PO Box 287
Greenville, SC 29602-0287
Phone (864) 729-8330

Other identifiers 1

IdentifierTypeStateIssuer
FQC183MedicaidSC

Other names 1

  • New Horizon Family Health Services - Main Site Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000211 SC Part B Supplier - Clinic/Group Practice 8224949698 Receives reassigned benefits from 30 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Greer, SC; Travelers Rest, SC
O20150617003169 SC Part A Provider - Federally Qualified Health Center (FQHC) 8224949698 Practice locations: Greenville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043495526. Details of each certification follow.

Federally qualified health center certification: CCN 421025

Legal name
NEW HORIZON FAMILY HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 18, 2015
Last certification
Jun 18, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 3, 1992 in SC
Enrollment address
975W Faris Rd
Greenville, SC 29605-4241

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2087310New Horizon Family Health Services Faris Road975 West Faris Road, Greenville, SC 29605Provider-performed microscopyOct 29, 2027

National Provider Directory

National Provider Directory
Part of
New Horizon Family HTLH SVC

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James B Gaffney Individual Corporate OfficerPresident & Ceo Jul 15, 2024 100%
W-2 Managing EmployeePresident & Ceo Jul 15, 2024 100%

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1043495526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296020287",
            "telephone_number": "864-729-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054241",
            "telephone_number": "864-729-8330",
            "fax_number": "864-751-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON FAMILY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HORIZON FAMILY HEALTH SERVICES, INC.",
        "enumeration_date": "2008-01-03",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "J BRANDON",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "864-729-8330"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC183",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizon Family Health Services - Main Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.