Greenwood Family Practice Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

23953 Issued in SC

Legal business name

GREENWOOD FAMILY PRACTICE INC

Practice address

1226 Spring St
Greenwood, SC 29646-3835

Phone

(864) 223-6621

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Graham, RN

Title

President

Phone

(864) 223-6621

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Greenwood Family Practice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenwood Family Practice, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, SC
  • NPI 1447463179
  NPD tax ID

Practitioners 1

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

• Jed Alan Graham, MD

  • Family Medicine Physician
  • Hodges, SC
  • NPI 1417972548
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1184844458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PLANTATION DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498426",
            "fax_number": "864-223-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463835",
            "telephone_number": "864-223-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-223-6621",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "SC",
            "license": "23953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4226824",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenwood County
• Greenwood County EMS
• Greenwood Ear Nose and Throat Assoc PA
• Greenwood Eye Clinic, P.a.
• Greenwood Family Eye Care Inc.
• Greenwood Family Practice, Inc.
• Greenwood Family Practice, Inc.
• Greenwood Genetic Center Lab
• Greenwood Genetics Center, Inc.
• Greenwood Home Medical Supplies

• Clinic Pharmacy in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Clinic Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.