Green Spot Medispa LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

GREEN SPOT MEDISPA LLC

Practice address

910 S Cashua Dr Unit B
Florence, SC 29501-6313

Phone

(843) 905-7674

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Daisha Jerrice Green, FNPNPI 1184394918

Title

Owner/Operator

Phone

(843) 260-0529

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Daisha Jerrice Green, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1184394918
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1710849369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CASHUA DR UNIT B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016313",
            "telephone_number": "843-905-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S CASHUA DR UNIT B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016313",
            "telephone_number": "843-905-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SPOT MEDISPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAISHA",
        "authorized_official_middle_name": "JERRICE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-260-0529",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gray
• Melvenia Gray
• Pamola Gray
• Shainaria Lehoma Gray
• Shannon K. Gray, RPH,CDE
• Andrian Jernise Green-Moore
• Ryan Sidney Green III, FNP-C
• Candice Whitaker Greenan, MD
• Phillip H Greenberg, M.D.
• Stuart A Greenberg, MD

• Addiction Medicine (Family Medicine) Physician in Florence, SC
• Providers in Florence, SC by specialty
• Addiction Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.