Active NPI
Deborah M Greenhouse, MD
- Pediatrics Physician
- Columbia, SC
National Provider Identifier
1831100734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14968
- Practice address
- 140 Park Central Dr
Columbia, SC 29203-6469 - Phone
- (803) 779-4001
- Fax
- (803) 462-0312
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14968 | SC | Primary |
Addresses
Primary practice location
140 Park Central Dr
Columbia, SC 29203-6469
Mailing address
601 Clemson Rd
Columbia, SC 29229-4341
Phone (803) 788-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149681 | 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14968 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Pediatrics Alliance, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Columbia, SC
- NPI 1184016941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1831100734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CLEMSON RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292294341",
"telephone_number": "803-788-6146",
"fax_number": "803-462-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PARK CENTRAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036469",
"telephone_number": "803-779-4001",
"fax_number": "803-462-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENHOUSE",
"first_name": "DEBORAH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "14968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149681",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.