Greenville Facial Plastic Surgery, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

GREENVILLE FACIAL PLASTIC SURGERY, LLC

Practice address

107 Mills Ave
Greenville, SC 29605-4017

Phone

(864) 990-4240

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 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

Katherine Hicks, MDNPI 1720320823

Title

Physician/Owner

Phone

(864) 990-4240

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Katherine Elizabeth Hicks, MD

  • Facial Plastic Surgery Physician
  • Greenville, SC
  • NPI 1720320823
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1073224416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DOUGLAS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051207",
            "telephone_number": "864-275-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054017",
            "telephone_number": "864-990-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE FACIAL PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "864-990-4240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Greenville Eyecare Associates PA
• Greenville Family Chiropractic
• Greenville Family Smiles, LLC
• Greenville Free Medical Clinic, Inc. (Northwest Crescent Free Clinic, Greer Free Clinic, Golden Strip Free C)
• Greenville Functional Medicine
• Greenville Health Corporation (Prisma Health Center for Prosthetics & Orthotics)

• Medical Specialty Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.