Greenville Medical Associates, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20540 Issued in SC

Legal business name

GREENVILLE MEDICAL ASSOCIATES, PA

Practice address

545 W Butler Rd
Greenville, SC 29607-4833

Phone

(864) 299-1990

Fax

(864) 299-9123

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Naveen Reddy Bethi, MDNPI 1952330011

Title

President

Phone

(864) 901-5876

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Greenville Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenville Medical Associates, PA

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1316251101
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naveen R Bethi, M.D.

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1952330011
  NPD Authorized official
• Lauren Noel Noone, FNP

  • Family Nurse Practitioner
  • Spartanburg, SC
  • NPI 1285185363
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1841742889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-299-1990",
            "fax_number": "864-299-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-299-1990",
            "fax_number": "864-299-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "BETHI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-901-5876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE LICENSE",
            "identifier": "APRN 20540",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Hospital System Partners in Health, Inc
• Greenville Kidney Care LLC
• Greenville Kidney Center, PA
• Greenville Living Center, LLC
• Greenville Medical Associates, PA
• Greenville Medical Care PA
• Greenville Memorial Hospital
• Greenville Mercy
• Greenville Natural Health, Inc.
• Greenville Neck & Back, Inc.

• Family Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.