Active NPI
Carolina Neurosurgery & Spine, P.a.
- Specialist
- Greenwood, SC
National Provider Identifier
1861541468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20961
- Legal business name
- CAROLINA NEUROSURGERY & SPINE, P.A.
- Practice address
- 115 Academy Ave
Greenwood, SC 29646-3869 - Phone
- (864) 943-1267
- NPI assigned
- Jan 10, 2007
- Last updated
- May 5, 2014
- 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
- Michael P. B. Kilburn, MD
- Title
- President
- Phone
- (864) 943-1267
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20961 | SC | Primary |
Addresses
Primary practice location
115 Academy Ave
Greenwood, SC 29646-3869
Mailing address
115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 943-1267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3746 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Greenwood, SC
- NPI 1992884753
-
- Neurological Surgery Physician
- Charleston, SC
- NPI 1053371328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399248000000",
"number": "1861541468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463869",
"telephone_number": "864-943-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463869",
"telephone_number": "864-943-1267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA NEUROSURGERY & SPINE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2014-05-05",
"status": "A",
"authorized_official_last_name": "KILBURN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P. B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-943-1267",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "20961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3746",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
- Carolina Health Centers, Inc.
- Carolina Health Centers, Inc. (The Bethany Center)
- Carolina Health Centers, Inc. (Carolina Community Pharmacy NorthWest)
- Carolina Health Centers, Inc. (The Children's Center)
- Carolina Health Centers/Piedmont Physicians for Women
- Carolina Pathology Associates LLP
- Carolina Physical Therapy Services, LLC
- Carolina Prosthetics & Orthotics, Inc
- Dee Gee Carpenter
- Darlene Carroll
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.