Greenville Spine and Sport

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3193 Issued in SC

Legal business name

GREENVILLE SPINE AND SPORT

Practice address

1326 Haywood Rd
Greenville, SC 29615-2255

Phone

(864) 326-6075

NPI assigned

Jun 27, 2014

Organization subpart

No

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

Authorized official

Name

Adam Morrell

Title

Owner

Phone

(864) 326-6075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1235544255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 DEVENGER RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 HAYWOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152255",
            "telephone_number": "864-326-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-326-6075"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenville Rehabilitation and Healthcare Center, LLC
• Greenville Rheumatology & Allergy
• Greenville RX LLC
• Greenville Skilled Nursing, LLC
• Greenville Smiles P.a.
• Greenville Spine Institute, LLC
• Greenville Surgery Center Limited Partnership
• Greenville Surgery Center LP
• Greenville Therapy Center PA
• Greenville Transitions Recovery Center, LLC

• Sports Physician Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Sports Physician Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.