Individual provider Active NPI

Joseph West, MD

  • Pediatrics Physician
  • Powdersville, SC
National Provider Identifier
1861503146
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10366 Issued in SC
Practice address
30 Halter Dr
Powdersville, SC 29673-6741
Phone
(864) 272-0388
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10366 SC Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

30 Halter Dr
Powdersville, SC 29673-6741

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other identifiers 1

IdentifierTypeStateIssuer
RHC188OtherSCRURAL HEALTH CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000555 SC Practitioner - Pediatric Medicine 4587723788 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Moncks Corner Pediatrics LLC Pediatrics CurrentSince Oct 15, 2007 Accepting new patients
Musc Affiliate Physicians Pediatrics CurrentSince Nov 4, 2023 Accepting new patients
Carolina Family Care, Inc Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Musc Affiliate Physicians CurrentSince Nov 4, 2023 Accepting new patients
Moncks Corner Pediatrics LLC Rural Health Past Accepting new patients

Locations

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

5000 Epson Plantation Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 754-4801

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

30 Halter Dr
Powdersville, SC 29673

Interoperability endpoints

  • Direct secure messaging: josephwest@monckscornerpeds.ssdirect.aprima.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1861503146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HALTER DR",
            "city": "POWDERSVILLE",
            "state": "SC",
            "postal_code": "296736741",
            "telephone_number": "864-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "10366",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC",
            "identifier": "RHC188",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powdersville, SC

Sources for this page

Verify at the official NPI Registry.