Organization Active NPI

Greenwood South, LLC

  • Emergency Care Clinic/Center
  • Arlington, TX
National Provider Identifier
1063179174
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
GREENWOOD SOUTH, LLC
Doing business as
TotalCare ER
Practice address
8020 Matlock Rd
Arlington, TX 76002-4779
Phone
(817) 566-1232
Fax
(817) 984-5434
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Jordan Tyler
Title
Billing Administrator
Phone
(817) 566-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

8020 Matlock Rd
Arlington, TX 76002-4779

Mailing address

1005 S Crowley Rd Ste R
Crowley, TX 76036-3698

Other names 1

  • TotalCare ER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1063179174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S CROWLEY RD STE R",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024779",
            "telephone_number": "817-566-1232",
            "fax_number": "817-984-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "817-566-1232"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TotalCare ER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TotalCare ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.