Active NPI
Greta Elizabeth Snow, DO
- Family Medicine Physician
- Mt Pleasant, SC
National Provider Identifier
1578097812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 83558
- Practice address
- 917 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448 - Phone
- (843) 408-0092
- NPI assigned
- Apr 13, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 83558 | SC | Primary |
Addresses
Primary practice location
917 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448
Mailing address
917 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448
Phone (843) 408-0092
Other practice location 1
5401 Netherby Ln Ste 101
North Charleston, SC 29420-7363
Phone (843) 408-0092
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250429003127 | SC | Practitioner - Family Practice | 7315217015 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- greta.snow.1@23284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1578097812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 HOUSTON NORTHCUTT BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643448",
"telephone_number": "843-408-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 HOUSTON NORTHCUTT BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643448",
"telephone_number": "843-408-0092"
}
],
"practiceLocations": [
{
"address_1": "5401 Netherby Ln Ste 101",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294207363",
"country_code": "US",
"telephone_number": "843-408-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNOW",
"first_name": "GRETA",
"middle_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "83558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.