Active NPI
Deborah L Greenlaw, NP
- Acute Care Nurse Practitioner
- Columbia, SC
National Provider Identifier
1497937916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN388
- Practice address
- 2435 Forest Dr
Columbia, SC 29204-2026 - Phone
- (803) 256-5458
- NPI assigned
- Nov 27, 2007
- Last updated
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN388 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 388 | SC | |
| Hospitalist Physician | 208M00000X | 388 | SC |
Addresses
Primary practice location
2435 Forest Dr
Columbia, SC 29204-2026
Mailing address
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00283012 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | SC | MD | Registered Dietitian |
| APN388 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augustine Health Hospitalists, LLC | Hospitalist | Past | Accepting new patients |
| Southeastern Emergency Services P C | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Sisters of Charity Providence Hospitals
- Hospitalist Physician
- Columbia, SC
- NPI 1417201344
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1497937916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 FOREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042026",
"telephone_number": "803-256-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 FOREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042026",
"telephone_number": "803-256-5458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLAW",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "APN388",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "388",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "388",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00283012",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Wanielle Greene
- Bryan Michael Greenfield
- Karen G Greenfield, MD
- David Lawrence Greenhouse, M.D.
- Deborah M Greenhouse, MD
- Greenville Health Corporation (Equipped for Life)
- Greenville Health Corporation
- Greenville Health Corporation (Prisma Health Pharmacy 12)
- Greenville Health Corporation (Equipped for Life-Midlands)
- Greenville Health Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.