Organization Active NPI

Poinsett Family Practice

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1871604793
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POINSETT FAMILY PRACTICE
Practice address
50 Cross Park CT
Greenville, SC 29605-4263
Phone
(864) 271-9773
Fax
(864) 271-1151
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Liz McKinney
Title
Practice Manager
Phone
(864) 271-9773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X SC Primary

Addresses

Primary practice location

50 Cross Park CT
Greenville, SC 29605-4263

Mailing address

50 Cross Park CT
Greenville, SC 29605-4263
Phone (864) 271-9773

Other identifiers 1

IdentifierTypeStateIssuer
GP3480MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1871604793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CROSS PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054263",
            "telephone_number": "864-271-9773",
            "fax_number": "864-271-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CROSS PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054263",
            "telephone_number": "864-271-9773",
            "fax_number": "864-271-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINSETT FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-271-9773"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3480",
            "state": "SC"
        }
    ],
    "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 Oct 27, 2009; 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.