Organization Active NPI

Johnny L. Neighbors, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Gaffney, SC
National Provider Identifier
1073665568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17618 Issued in SC
Legal business name
JOHNNY L. NEIGHBORS, M.D., P.A.
Practice address
1506 N Limestone St
Suite C
Gaffney, SC 29340-4747
Phone
(864) 487-3334
Fax
(864) 489-4863
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Johnny Leo Neighbors, M.D.
Title
President
Phone
(864) 487-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 17618 SC Primary

Addresses

Primary practice location

1506 N Limestone St
Suite C
Gaffney, SC 29340-4747

Mailing address

1506 N Limestone St
Suite C
Gaffney, SC 29340-4747
Phone (864) 487-3334

Other identifiers 1

IdentifierTypeStateIssuer
GP1791MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073665568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N LIMESTONE ST",
            "address_2": "SUITE C",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404747",
            "telephone_number": "864-487-3334",
            "fax_number": "864-489-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N LIMESTONE ST",
            "address_2": "SUITE C",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404747",
            "telephone_number": "864-487-3334",
            "fax_number": "864-489-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY L. NEIGHBORS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEIGHBORS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-487-3334",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "17618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1791",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.