NPIMap

Organization Active NPI

Carolina Medical Center

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1699768986
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0342 Issued in SC
Legal business name
CAROLINA MEDICAL CENTER
Practice address
2 Roper Corners Cir
Greenville, SC 29615-4833
Phone
(864) 281-9999
Fax
(864) 281-9990
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Diane Dyer
Title
Office Manager
Phone
(864) 281-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0342 SC Primary

Addresses

Primary practice location

2 Roper Corners Cir
Greenville, SC 29615-4833

Mailing address

2 Roper Corners Cir
Greenville, SC 29615-4833
Phone (864) 281-9999

Other identifiers 2

IdentifierTypeStateIssuer
110193827OtherSCRAILROAD MEDICARE
0402879OtherSCCAROLINA CARE PLAN

National Provider Directory

National Provider Directory

Locations

2 Roper Corners Cir
Greenville, SC 29615
Phone (864) 234-7815

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1699768986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-281-9999",
            "fax_number": "864-281-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-281-9999",
            "fax_number": "864-281-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-281-9999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110193827",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA CARE PLAN",
            "identifier": "0402879",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.