Active NPI
Michael Wood, M.D.
- Professional Counselor
- Greenville, SC
National Provider Identifier
1881642908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13283
- Practice address
- 124 Mallard St
Greenville, SC 29601-4046 - Phone
- (864) 241-1040
- Fax
- (864) 241-1215
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13283 | SC | Primary |
Addresses
Primary practice location
124 Mallard St
Greenville, SC 29601-4046
Mailing address
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301100 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13283 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anderson, SC
- NPI 1508814625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1881642908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MALLARD ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040",
"fax_number": "864-241-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MALLARD ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040",
"fax_number": "864-241-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "13283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301100",
"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 May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.