Faith Prostheitc-Orthotic Services

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FAITH PROSTHEITC-ORTHOTIC SERVICES

Practice address

303 W Alexander Ave
Ste I
Greenwood, SC 29646-4078

Phone

(864) 229-3299

Fax

(864) 229-4491

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Jim B Price Jr., PH.D, C.P.O.

Title

President

Phone

(704) 782-0908

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenwood Prosthetic-Orthotic Center Doing business as

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750388013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W ALEXANDER AVE",
            "address_2": "STE I",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464078",
            "telephone_number": "864-229-3299",
            "fax_number": "864-229-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W ALEXANDER AVE",
            "address_2": "STE I",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464078",
            "telephone_number": "864-229-3299",
            "fax_number": "864-229-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PROSTHEITC-ORTHOTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-782-0908",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D, C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2063",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Prosthetic-Orthotic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Etheredge, COTA/L
• Brittany Evans
• Micaela D Evans
• Eyemart Express LLC
• Faith Medical Center P.C.
• Laurie Fallaw, MA, CACII
• Family Physicians of Greenwood PA
• Amy Dixon Farmer, NP
• Julie Holmberg Farmer, PTA
• Morgan Ferqueron Farmer

• Prosthetic/Orthotic Supplier in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.