Active NPI
Greer Group Practice, LLC
- Family Medicine Physician
- Greer, SC
National Provider Identifier
1720034994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREER GROUP PRACTICE, LLC
- Doing business as
- MOUNTAINVIEW FAMILY PRACTICE
- Practice address
- 406 Memorial Drive Ext
Greer, SC 29651-1818 - Phone
- (864) 877-9066
- Fax
- (864) 848-3291
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gina M Hillers
- Title
- Credentialing Specialist
- Phone
- (864) 560-4057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
406 Memorial Drive Ext
Greer, SC 29651-1818
Mailing address
PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA6208 | Other | SC | RAILROAD MEDICARE GROUP # |
| GP2793 | Medicaid | SC |
Other names 1
- MOUNTAINVIEW FAMILY PRACTICE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1720034994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293042168",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 MEMORIAL DRIVE EXT",
"city": "GREER",
"state": "SC",
"postal_code": "296511818",
"telephone_number": "864-877-9066",
"fax_number": "864-848-3291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREER GROUP PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HILLERS",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "864-560-4057",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "DA6208",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2793",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOUNTAINVIEW FAMILY PRACTICE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.