Active NPI
Genesis Medical Care
- Urgent Care Clinic/Center
- Easley, SC
National Provider Identifier
1598029258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- F2099
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5985 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.