Individual provider Active NPI

Gregory Smith, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1699253294
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21993 Issued in SC
Practice address
3505 Pelham Rd Ste B
Greenville, SC 29615-4154
Phone
(864) 551-8022
Fax
(864) 412-1003
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010511A IN
Family Nurse Practitioner 363LF0000X 21993 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21993 SC Primary

Addresses

Primary practice location

3505 Pelham Rd Ste B
Greenville, SC 29615-4154

Mailing address

3505 Pelham Rd Ste B
Greenville, SC 29615-4154
Phone (864) 551-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, CO, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181031002089 SC Practitioner - Nurse Practitioner 4789937103 Reassigns benefits to 5 organizations
I20210514002344 GA Practitioner - Nurse Practitioner 4789937103 Reassigns benefits to 2 organizations
I20250402003387 CO Practitioner - Nurse Practitioner 4789937103 Reassigns benefits to 1 organization
I20250714000228 NC Practitioner - Nurse Practitioner 4789937103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southtown Psychiatry PLLCGroup PAC ID 5698118842, 4 clinicians

Practice addresses (Care Compare)

20 Hawthorne Park CT
Greenville, SC 29615-3194
Phone (210) 343-5121

3505 Pelham Rd
Suite B
Greenville, SC 29615-4154
Phone (864) 551-8022

Hospital & facility affiliations

  • Carolinas Home Health Home health agency, Florence, SC, CCN 427058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21993SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinecrest Wellness, LLC Family Current Accepting new patients
CH Specialty Services SC LLC Family CurrentSince May 22, 2023 Accepting new patients
Southtown Psychiatry PLLC CurrentSince Aug 6, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Dec 16, 2022 Accepting new patients
Curana Health of South Carolina PC CurrentSince Sep 20, 2018 Accepting new patients
Southtown Psychiatry PLLC CurrentSince Jan 1, 2025 Accepting new patients
Curana Health Medical Group LLC CurrentSince May 7, 2021 Accepting new patients
Inner Self Care, LLC Family CurrentSince Aug 14, 2025 Accepting new patients

Locations

1690 Meade St
Denver, CO 80204
Phone (303) 264-6900

2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581

2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

1051 Noell Ln
Rocky Mount, NC 27804
Phone (252) 451-2300

9 Executive Campus
Cherry Hill, NJ 08002

20 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 288-6775

3505 Pelham Rd
Ste B
Greenville, SC 29615
Phone (706) 978-1834

68 Pointe Cir
Ste 3201
Greenville, SC 29615
Phone (864) 479-1212

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

190 McSwain Dr
West Columbia, SC 29169
Phone (803) 936-0006

909 NE Loop 410
Ste 600
San Antonio, TX 78209
Phone (210) 460-0070

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1699253294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154154",
            "telephone_number": "864-551-8022",
            "fax_number": "864-412-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154154",
            "telephone_number": "864-551-8022",
            "fax_number": "864-412-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010511A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21993",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "21993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.