Individual provider Active NPI

Dennis W Murphy, MD

  • Occupational Medicine Physician
  • Greenwood, SC
National Provider Identifier
1407842198
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
10943 Issued in SC
Practice address
105 Vinecrest CT # 300
Greenwood, SC 29646-8031
Phone
(864) 223-6625
Fax
(864) 223-9245
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10943 SC
Occupational Medicine Physician 2083X0100X 10943 SC Primary

Addresses

Primary practice location

105 Vinecrest CT # 300
Greenwood, SC 29646-8031

Mailing address

105 Vinecrest CT # 300
Greenwood, SC 29646-8031
Phone (864) 223-6625

Other identifiers 1

IdentifierTypeStateIssuer
109439MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001457 SC Practitioner - Family Practice 6204952013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10943SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Self Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

105 Vinecrest Ct
Ste 300
Greenwood, SC 29646
Phone (864) 223-5111

105 Vinecrest Ct
#300
Greenwood, SC 29646
Phone (864) 223-5111

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

105 Vinecrest Ct
#600
Greenwood, SC 29646
Phone (864) 227-2900

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

103 Little Mountain Rd
Ninety Six, SC 29666
Phone (864) 223-5111

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1407842198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VINECREST CT # 300",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468031",
            "telephone_number": "864-223-6625",
            "fax_number": "864-223-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINECREST CT # 300",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468031",
            "telephone_number": "864-223-6625",
            "fax_number": "864-223-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10943",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "10943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109439",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.