Active NPI
Gregory Smiling
- Transportation Broker
- Dillon, SC
National Provider Identifier
1275143208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 00004981
- Practice address
- 615 Freddie Loop
Dillon, SC 29536-6180 - Phone
- (843) 287-1827
- Fax
- (843) 774-4349
- NPI assigned
- Aug 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 00004981 | SC | Primary |
Addresses
Primary practice location
615 Freddie Loop
Dillon, SC 29536-6180
Mailing address
615 Freddie Loop
Dillon, SC 29536-6180
Phone (843) 287-1827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004981 | SC | MD | Transportation Broker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1275143208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 FREDDIE LOOP",
"city": "DILLON",
"state": "SC",
"postal_code": "295366180",
"telephone_number": "843-287-1827",
"fax_number": "843-774-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 FREDDIE LOOP",
"city": "DILLON",
"state": "SC",
"postal_code": "295366180",
"telephone_number": "843-287-1827",
"fax_number": "843-774-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILING",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "SC",
"license": "00004981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillon, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.