Active NPI
Logos Wound Care Solutions, LLC
- Wound Care Registered Nurse
- Greenville, SC
National Provider Identifier
1841055092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- LOGOS WOUND CARE SOLUTIONS, LLC
- Practice address
- 1200 Woodruff Rd Ste 187 Building A3
Greenville, SC 29607-5730 - Phone
- (801) 712-2075
- NPI assigned
- Feb 16, 2024
- 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
- Broderick Hekking
- Title
- Mso
- Phone
- (864) 481-0935
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
1200 Woodruff Rd Ste 187 Building A3
Greenville, SC 29607-5730
Mailing address
1200 Woodruff Rd Ste 187
Greenville, SC 29607-5730
Phone (801) 712-2075
Other practice location 1
8 N Texas Ave
Greenville, SC 29611-5034
Phone (864) 295-1331
Other practice location 2
501 Gulliver St
Fountain Inn, SC 29644-2105
Phone (864) 862-2554
Other practice location 3
2906 Geer Hwy
Marietta, SC 29661-9517
Phone (864) 836-6381
Other practice location 4
600 Sulphur Springs Rd
Greenville, SC 29617-1622
Phone (864) 246-2721
Other practice location 5
601 Sulphur Springs Rd
Greenville, SC 29617-1621
Phone (864) 246-2721
Other practice location 6
208 James St
Anderson, SC 29625-2942
Phone (864) 226-3427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240822000578 | SC | Part B Supplier - Clinic/Group Practice | 6709325723 |
Receives reassigned benefits from 7 practitioners Practice locations: Fountain Inn, SC; Greenville, SC |
National Provider Directory
National Provider DirectoryLocations
1200 Woodruff Rd
Ste 187
Greenville, SC 29607
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1386084978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1841055092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD STE 187",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "801-712-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD STE 187 BUILDING A3",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "801-712-2075"
}
],
"practiceLocations": [
{
"address_1": "8 N Texas Ave",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296115034",
"country_code": "US",
"telephone_number": "864-295-1331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Gulliver St",
"address_purpose": "LOCATION",
"city": "Fountain Inn",
"state": "SC",
"postal_code": "296442105",
"country_code": "US",
"telephone_number": "864-862-2554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2906 Geer Hwy",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "SC",
"postal_code": "296619517",
"country_code": "US",
"telephone_number": "864-836-6381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Sulphur Springs Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296171622",
"country_code": "US",
"telephone_number": "864-246-2721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Sulphur Springs Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296171621",
"country_code": "US",
"telephone_number": "864-246-2721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 James St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296252942",
"country_code": "US",
"telephone_number": "864-226-3427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LOGOS WOUND CARE SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "HEKKING",
"authorized_official_first_name": "BRODERICK",
"authorized_official_title_or_position": "MSO",
"authorized_official_telephone_number": "864-481-0935"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.