Individual provider Active NPI

Steven A Skinner, MD

  • Clinical Genetics (M.D.) Physician
  • Greenwood, SC
National Provider Identifier
1528059292
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
9822 Issued in SC
Practice address
106 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone
(864) 941-8100
Fax
(864) 941-8114
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 9822 SC Primary

Addresses

Primary practice location

106 Gregor Mendel Cir
Greenwood, SC 29646-2315

Mailing address

101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100

Other identifiers 1

IdentifierTypeStateIssuer
098227MedicaidSC

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
I20100722000578 SC Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 0143237792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Pediatric Medicine
Education
Medical University of South Carolina College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Genetic Center LabGroup PAC ID 9830097039, 9 clinicians

Practice addresses (Care Compare)

101 Gregor Mendel Cir
Greenwood, SC 29646-2316
Phone (864) 941-8100

101 Gregor Mendel Circle
Greenwood, SC 29646-2316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9822SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Genetic Center Lab CurrentSince Oct 1, 2000 Accepting new patients
Shriners Hospitals for Children CurrentSince May 16, 2024 Accepting new patients
Greenwood Genetics Center, Inc. Clinical Genetics (M.D.) CurrentSince Oct 1, 2000 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Greenwood Genetics Center, Inc. Clinical Genetics (M.D.) Current Accepting new patients
Shriners Hospitals for Children CurrentSince May 16, 2024 Accepting new patients

Locations

950 W Faris Rd
Greenville, SC 29605
Phone (864) 255-7951

101 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 941-8100

106 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 941-8100

Interoperability endpoints

  • Direct secure messaging: sskinner473660@direct.musc.edu
  • Direct secure messaging: sskinner178679@selfregional.direct-ci.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1528059292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462316",
            "telephone_number": "864-941-8100",
            "fax_number": "864-941-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462315",
            "telephone_number": "864-941-8100",
            "fax_number": "864-941-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "SC",
            "license": "9822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.