Organization Active NPI

Genesis Medical Care

  • Urgent Care Clinic/Center
  • Easley, SC
National Provider Identifier
1598029258
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
F2099 Issued in SC
Legal business name
GENESIS MEDICAL CARE
Practice address
109 Fleetwood Dr
Suite E
Easley, SC 29640-2019
Phone
(864) 644-8303
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Donna Yvonne Marling, NP
Title
Owner
Phone
(864) 644-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X F2099 SC Primary

Addresses

Primary practice location

109 Fleetwood Dr
Suite E
Easley, SC 29640-2019

Mailing address

PO Box 328
Easley, SC 29641
Phone (864) 506-1414

Other identifiers 1

IdentifierTypeStateIssuer
GP5985MedicaidSC

National Provider Directory

National Provider Directory

Locations

403 Hillcrest Dr
Ste D
Easley, SC 29640
Phone (864) 506-0059

109 Fleetwood Dr
Easley, SC 29640
Phone (864) 644-8303

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1598029258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29641",
            "telephone_number": "864-506-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FLEETWOOD DR",
            "address_2": "SUITE E",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402019",
            "telephone_number": "864-644-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "MARLING",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-644-8303",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "SC",
            "license": "F2099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5985",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.