NPIMap

Organization Active NPI

Hospice and Palliative Care of the Piedmont Inc

Doing business as Palliative Care of the Piedmont

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greenwood, SC
National Provider Identifier
1902064512
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE AND PALLIATIVE CARE OF THE PIEDMONT INC
Doing business as
Palliative Care of the Piedmont
Practice address
408 W Alexander Ave
Greenwood, SC 29646-4031
Phone
(864) 227-9393
Fax
(864) 227-9377
NPI assigned
May 30, 2008
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Donna Jan Burton
Title
Reimbursement & Quality Coordinator
Phone
(864) 227-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

408 W Alexander Ave
Greenwood, SC 29646-4031

Mailing address

408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 227-9393

Other identifiers 1

IdentifierTypeStateIssuer
GP4957MedicaidSC

Other names 1

  • Palliative Care of the Piedmont Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000613 SC Part B Supplier - Clinic/Group Practice 1052484201 Receives reassigned benefits from 10 practitioners
Practice locations: Greenwood, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Homecare of Hospicecare of the Piedmont Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1902064512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W ALEXANDER AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464031",
            "telephone_number": "864-227-9393",
            "fax_number": "864-227-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W ALEXANDER AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464031",
            "telephone_number": "864-227-9393",
            "fax_number": "864-227-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE AND PALLIATIVE CARE OF THE PIEDMONT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "REIMBURSEMENT & QUALITY COORDINATOR",
        "authorized_official_telephone_number": "864-227-9393"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4957",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Care of the Piedmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.