NPIMap

Organization Active NPI

Carolina Medical Rehab

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
National Provider Identifier
1497705982
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CAROLINA MEDICAL REHAB
Practice address
27 Creekview Court
Greenville, SC 29615-4800
Phone
(864) 627-4032
Fax
(864) 627-4035
NPI assigned
May 12, 2006
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mrs. Linda H Huckaby, CMA (AAMA)
Title
Billing Manager
Phone
(864) 627-4032

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

27 Creekview Court
Greenville, SC 29615-4800

Mailing address

301 Raven Rd
Greenville, SC 29615-4249
Phone (864) 627-4032

Other identifiers 2

IdentifierTypeStateIssuer
CJ5877OtherSCRAILROAD MEDICARE
GP2609MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1497705982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RAVEN RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154249",
            "telephone_number": "864-627-4032",
            "fax_number": "864-627-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CREEKVIEW COURT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-627-4032",
            "fax_number": "864-627-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "HUCKABY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "864-627-4032",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA (AAMA)"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5877",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2609",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.