Individual provider Active NPI

Greta Elizabeth Snow, DO

  • Family Medicine Physician
  • Mt Pleasant, SC
National Provider Identifier
1578097812
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83558 Issued in SC
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

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429003127 SC Practitioner - Family Practice 7315217015

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.