NPIMap

Organization Active NPI

Faith Medical Center P.C.

Doing business as Greenwood Family Practice

  • Clinic/Center
  • Greenwood, SC
National Provider Identifier
1306582044
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAITH MEDICAL CENTER P.C.
Doing business as
Greenwood Family Practice
Practice address
805 Montague Ave Ste a
Greenwood, SC 29649-1464
Phone
(864) 223-6621
Fax
(864) 223-6659
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Joel A Onafowokan, MDNPI 1790745495
Title
Medical Director
Phone
(704) 366-7182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

805 Montague Ave Ste a
Greenwood, SC 29649-1464

Mailing address

805 Montague Ave Ste a
Greenwood, SC 29649-1464
Phone (864) 223-6621

Other names 1

  • GREENWOOD FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory

Locations

805 Montague Ave
Ste A
Greenwood, SC 29649
Phone (864) 223-6621

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1306582044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MONTAGUE AVE STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491464",
            "telephone_number": "864-223-6621",
            "fax_number": "864-223-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MONTAGUE AVE STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491464",
            "telephone_number": "864-223-6621",
            "fax_number": "864-223-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MEDICAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "ONAFOWOKAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-366-7182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENWOOD FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.