John M Tennis, M.D.

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

10951 Issued in SC

Practice address

1027A Edgefield St
Greenwood, SC 29646-3205

Phone

(864) 227-9708

Fax

(864) 229-5542

NPI assigned

Feb 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1457539082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027A EDGEFIELD ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463205",
            "telephone_number": "864-227-9708",
            "fax_number": "864-229-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027A EDGEFIELD ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463205",
            "telephone_number": "864-227-9708",
            "fax_number": "864-229-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIS",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "SC",
            "license": "10951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Taylor, PHARMD
• Felicia N Taylor
• Harold A Taylor Jr., PH.D.
• Samuel H Taylor, MD
• John Patrick Lim Tejada, M.D.
• Kevin Terry
• Sherrita Terry, LPN
• Tashia Palmore Terry, NURSE PRACTITIONER
• Katherine Thayer
• The Greenwood Endoscopy Center Inc

• Obesity Medicine (Family Medicine) Physician in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Obesity Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.