Greer Pediatric Clinic LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

GREER PEDIATRIC CLINIC LLC

Practice address

554 Memorial Drive Ext Ste C
Greer, SC 29651-1155

Phone

(864) 879-3883

Fax

(864) 848-3492

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Ann Hice

Title

Office Manager

Phone

(864) 879-3883

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619182482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 MEMORIAL DRIVE EXT STE C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511155",
            "telephone_number": "864-879-3883",
            "fax_number": "864-848-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 MEMORIAL DRIVE EXT STE C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511155",
            "telephone_number": "864-879-3883",
            "fax_number": "864-848-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREER PEDIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-879-3883",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1829",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Greer
• Sally Elizabeth Gregg, PT, DPT
• Gregory N Bentzel DPM, LLC

• Pediatric Adolescent Medicine Physician in Greer, SC
• Providers in Greer, SC by specialty
• Pediatric Adolescent Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.