Active NPI
Sarah Doctor-Greenwade
- Internal Medicine Physician
- Columbia, SC
National Provider Identifier
1801392634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 823005560
- Practice address
- 140 Wildewood Park Dr Ste 105
Columbia, SC 29223-4312 - Phone
- (803) 451-0449
- Fax
- (803) 753-9568
- NPI assigned
- Apr 2, 2018
- Last updated
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 823005560 | SC | Primary |
Addresses
Primary practice location
140 Wildewood Park Dr Ste 105
Columbia, SC 29223-4312
Mailing address
PO Box 23328
Columbia, SC 29224-3328
Phone (803) 722-4988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP8160 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Medical Lab | Multi-Specialty | Current | Accepting new patients |
| Concierge Medical Group LLC | Multi-Specialty | Current | Accepting new patients |
Locations
140 Wildewood Park Dr
Ste 107
Columbia, SC 29223
Phone (803) 722-4988
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1801392634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23328",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292243328",
"telephone_number": "803-722-4988",
"fax_number": "803-656-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WILDEWOOD PARK DR STE 105",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234312",
"telephone_number": "803-451-0449",
"fax_number": "803-753-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCTOR-GREENWADE",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "823005560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP8160",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Whitney Allison Dobek, MS, CGC
- Leah Doberne-Schor, LPC
- Amy Toburen Dobson, MS
- Tytiana Dobson
- Paul Dobyns, ATC
- Doctor's Weight Loss Center, LLC (Doctor's Wellness Centers)
- Doctors Care SC, PA (Doctors Care Seven Oaks)
- Doctors Care SC, PA (Doctors Care Northeast)
- Doctors Care SC, PA (Doctors Care Beltline)
- Doctors Care SC, PA (Doctors Care Columbia East)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.