Organization Active NPI

Halo Clinical Services LLC

  • Pain Medicine Physician
  • Greer, SC
National Provider Identifier
1699536482
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HALO CLINICAL SERVICES LLC
Practice address
420 The Pkwy Ste N
Greer, SC 29650-5205
Phone
(864) 743-1776
Fax
(864) 214-4749
NPI assigned
Jan 18, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Robert Whittemore
Title
Consultant
Phone
(803) 622-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

420 The Pkwy Ste N
Greer, SC 29650-5205

Mailing address

200 Chippy Rd
Greer, SC 29650-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409001356 SC Part B Supplier - Clinic/Group Practice 3870931926 Receives reassigned benefits from 3 practitioners
Practice locations: Greer, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1699536482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHIPPY RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PKWY STE N",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505205",
            "telephone_number": "864-743-1776",
            "fax_number": "864-214-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WHITTEMORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "803-622-2667"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.