NPIMap

Organization Active NPI

New Horizon Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
National Provider Identifier
1205949757
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
N/A Issued in SC
Legal business name
NEW HORIZON FAMILY HEALTH SERVICES, INC.
Practice address
130 Mallard St
Greenville, SC 29601-4046
Phone
(864) 233-1534
Fax
(864) 233-2618
NPI assigned
Aug 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
J Brandon Gaffney
Title
Ceo & President
Phone
(864) 729-8330

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 75

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

View all 75

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031106000211 SC Part B Supplier - Clinic/Group Practice 8224949698 Receives reassigned benefits from 30 practitioners
6 other NPIs on this enrollment
Practice locations: Greenville, SC; Greer, SC; Travelers Rest, SC

National Provider Directory

National Provider Directory

Locations

890 W Faris Rd
Ste 520
Greenville, SC 29605
Phone (864) 455-9033

974 W Faris Rd
Greenville, SC 29605

975 W Faris Rd
Greenville, SC 29605
Phone (864) 729-8330

111A Berry Ave
Greer, SC 29651
Phone (864) 801-2035

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X N/A SC Primary

Addresses

NPPES NPI Registry

Primary practice location

130 Mallard St
Greenville, SC 29601-4046

Mailing address

PO Box 287
Greenville, SC 29602-0287
Phone (864) 312-6001

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
FQC029MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2024.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1205949757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296020287",
            "telephone_number": "864-312-6001",
            "fax_number": "864-233-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MALLARD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014046",
            "telephone_number": "864-233-1534",
            "fax_number": "864-233-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON FAMILY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "J BRANDON",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "864-729-8330"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "SC",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC029",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.