Active NPI
Greenside Medicine LLC
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1639074917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREENSIDE MEDICINE LLC
- Practice address
- 10 Enterprise Blvd
Greenville, SC 29615-6301 - Phone
- (201) 202-3896
- Fax
- (469) 259-2207
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- 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
- Joseph Grant, MD
- Title
- MD
- Phone
- (821) 202-3896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
10 Enterprise Blvd
Greenville, SC 29615-6301
Mailing address
PO Box 24121
Greenville, SC 29616-4121
Phone (821) 202-3896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1639074917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24121",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296164121",
"telephone_number": "821-202-3896",
"fax_number": "469-259-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ENTERPRISE BLVD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156301",
"telephone_number": "201-202-3896",
"fax_number": "469-259-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSIDE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "821-202-3896",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
- Marilyn Greene
- Melanie Schnoor Greene, M.D.
- Haley Jordan Greenfield, APRN
- Greenlife Chiropractic (GreenLife Wellness)
- Greenlife Wellness LLC
- Greensville Senior Living, LLC (Hawthorne Inn at Greenville)
- Greenville Age Management Medical Institute, LLC
- Greenville Anesthesiology, PA
- Greenville Aph, LLC
- Greenville ASC LLC (Endoscopy Center Of The Upstate)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.