Positive Innergy Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

POSITIVE INNERGY MEDICAL GROUP

Practice address

26 Potomac Ave
Greenville, SC 29605-2118

Phone

(770) 990-0823

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Brent Horsford

Title

Owner

Phone

(770) 990-0823

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1558911677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 FESTIVAL AVE",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135502",
            "telephone_number": "770-990-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 POTOMAC AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052118",
            "telephone_number": "770-990-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE INNERGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "HORSFORD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-990-0823"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@pimedicalgroup.com",
            "affiliation": "N",
            "address_1": "26 Potomac Ave",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296052118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wakela Clayton Porter
• Barbara Posey
• Julia Laura Posey, O.T.
• Positive Directions, LLC
• Positive Hearts LLC
• Positive Youth Reinforcement
• Alan G Posta Jr., M.D.
• Emily Ludlow Poston, APRN
• Brianna Poteat, PTA
• Tony Samuel Poteat Jr., MD

• Multi-Specialty Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.