NPIMap

Organization Active NPI

Neurology Assoc of Greenville

  • Neurology Physician
  • Greenville, SC
National Provider Identifier
1811989221
Registry record updated Dec 1, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOC OF GREENVILLE
Practice address
1130 Grove Rd
Greenville, SC 29605-4620
Phone
(864) 232-9644
Fax
(864) 232-7825
NPI assigned
Aug 22, 2005
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Mr. Kent H KistlerNPI 1730171166
Title
President
Phone
(864) 232-9644

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1130 Grove Rd
Greenville, SC 29605-4620

Mailing address

1130 Grove Rd
Greenville, SC 29605-4620
Phone (864) 232-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1130 Grove Rd
Greenville, SC 29605
Phone (803) 232-9644

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1811989221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-232-9644",
            "fax_number": "864-232-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054620",
            "telephone_number": "864-232-9644",
            "fax_number": "864-232-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOC OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-232-9644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.