Cherrydale Medical Practice PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CHERRYDALE MEDICAL PRACTICE PC

Doing business as

Doctors Express

Practice address

3213 N Pleasantburg Dr
Ste E2
Greenville, SC 29609-2900

Phone

(864) 467-2005

Fax

(864) 467-2089

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Brad Childs

Title

President

Phone

(864) 918-4600

Specialties & licenses 1

Addresses

Other names 1

• Doctors Express Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Tinsley Hanna, M.D.

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1083688386
  NPD

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1073868600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SPOLETO CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093062",
            "telephone_number": "864-467-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 N PLEASANTBURG DR",
            "address_2": "STE E2",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092900",
            "telephone_number": "864-467-2005",
            "fax_number": "864-467-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYDALE MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-918-4600"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J Suzanne Cherry, PT
• Lisa Marie Cherry, DDS
• Cherrydale Chiropractic (Healthsource of CherryDale)
• Cherrydale Dental Associates, LLC
• Cherrydale Family Chiropractic
• Cherrydale Pharmacy Inc
• Eric Todd Chesney, FNP-BC
• Alissa Nicole Chester
• Chestnut Hill Mental Health Center Inc (Springbrook Behavioral Health System)
• Chestnut Hill Mental Health Center, Inc. (SpringBrook Behavioral Health System)

• Urgent Care Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Urgent Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.