Organization Active NPI

Piedmont Neurology

  • Neurology Physician
  • Greenwood, SC
National Provider Identifier
1851783377
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PIEDMONT NEUROLOGY
Practice address
917 Bypass 225 S
Greenwood, SC 29646-8025
Phone
(864) 227-5240
Fax
(864) 227-5239
NPI assigned
Feb 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Dr. Wayne Brian Sida, M.D.NPI 1700886009
Title
Neurologist
Phone
(864) 227-5240

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

917 Bypass 225 S
Greenwood, SC 29646-8025

Mailing address

917 Bypass 225 S
Greenwood, SC 29646-8025
Phone (864) 227-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308002680 SC Part B Supplier - Clinic/Group Practice 1355647983 Receives reassigned benefits from 3 practitioners
Practice locations: Greenwood, SC

National Provider Directory

National Provider Directory

Locations

917 Bypass 225 S
Greenwood, SC 29646
Phone (864) 227-5240

917 Bypass 225 S
#906
Greenwood, SC 29646

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1851783377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BYPASS 225 S",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468025",
            "telephone_number": "864-227-5240",
            "fax_number": "864-227-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BYPASS 225 S",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468025",
            "telephone_number": "864-227-5240",
            "fax_number": "864-227-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "SIDA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "864-227-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.

Verify at the official NPI Registry.