Organization Active NPI

Greenlife Wellness LLC

  • Multi-Specialty Clinic/Center
  • Greenville, SC
National Provider Identifier
1700346301
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GREENLIFE WELLNESS LLC
Practice address
527 Mills Ave Ste 201a
Greenville, SC 29605-5602
Phone
(864) 603-1450
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Andrew Wright, DCNPI 1972896991
Title
Owner
Phone
(864) 603-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

527 Mills Ave Ste 201a
Greenville, SC 29605-5602

Mailing address

527 Mills Ave Ste 201a
Greenville, SC 29605-5602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190810000051 SC Part B Supplier - Clinic/Group Practice 4587991773 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

527 Mills Ave
Ste 201A
Greenville, SC 29605
Phone (864) 603-1450

527 Mills Ave
Ste 135
Greenville, SC 29605
Phone (864) 603-1450

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1700346301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MILLS AVE STE 201A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MILLS AVE STE 201A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055602",
            "telephone_number": "864-603-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIFE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-603-1450",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 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.