Woodlands Treatment Center, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

SC-10025-M Issued in SC

Legal business name

WOODLANDS TREATMENT CENTER, LLC

Practice address

155 Brozzini CT.
Suite E
Greenville, SC 29615-5340

Phone

(864) 288-7636

Fax

(864) 288-7978

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rupert James McCormac IV, M.D.

Title

Owner

Phone

(864) 288-7636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891814943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BROZZINI COURT",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155340",
            "telephone_number": "864-288-7636",
            "fax_number": "864-288-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BROZZINI CT.",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155340",
            "telephone_number": "864-288-7636",
            "fax_number": "864-288-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-288-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "SC",
            "license": "SC-10025-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Diane Woodbrown, PHD
• Miesty Woodburn, M.D.
• Ana Woodfield
• Sara Taylor Wooding, CRNA
• Woodlands Medical Clinic PA
• Woodruff Smiles Dentistry, PC
• Amber Woodruff, RBT
• Courtney Marianne Woodruff, LPC
• Jaime Woodruff, LPCA
• Tarraz Woodruff, RN

• Methadone Clinic in Greenville, SC
• Providers in Greenville, SC by specialty
• Methadone Clinic in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.