Organization Active NPI

Greenwood Center for Gynecology, LLC

  • Gynecology Physician
  • Greenwood, SC
National Provider Identifier
1336347319
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
18669 Issued in SC
Legal business name
GREENWOOD CENTER FOR GYNECOLOGY, LLC
Practice address
1029 A Edgefield St
Greenwood, SC 29646-3205
Phone
(864) 388-2122
Fax
(864) 388-7948
NPI assigned
Jul 11, 2007
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Paula B. Hinton
Title
Office Manager
Phone
(864) 388-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 18669 SC Primary

Addresses

Primary practice location

1029 A Edgefield St
Greenwood, SC 29646-3205

Mailing address

1029 A Edgefield St
Greenwood, SC 29646-3205
Phone (864) 388-2122

Other identifiers 1

IdentifierTypeStateIssuer
T25381MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1336347319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 A EDGEFIELD ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463205",
            "telephone_number": "864-388-2122",
            "fax_number": "864-388-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 A EDGEFIELD ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463205",
            "telephone_number": "864-388-2122",
            "fax_number": "864-388-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD CENTER FOR GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-388-2122"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "18669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T25381",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2010; 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.