Organization Active NPI

Restoration Medical Center of Greenville Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Greenville, SC
National Provider Identifier
1942049119
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
RESTORATION MEDICAL CENTER OF GREENVILLE INC
Practice address
10 Enterprise Blvd Ste 210
Greenville, SC 29615-3554
Phone
(864) 813-9990
Fax
(803) 708-0865
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Doug Williams
Title
Billing Manager
Phone
(803) 244-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

10 Enterprise Blvd Ste 210
Greenville, SC 29615-3554

Mailing address

PO Box 7227
West Columbia, SC 29171-7227
Phone (803) 244-9212

Other names 1

  • NCO Group, Inc. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1942049119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7227",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291717227",
            "telephone_number": "803-244-9212",
            "fax_number": "803-708-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 210",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153554",
            "telephone_number": "864-813-9990",
            "fax_number": "803-708-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MEDICAL CENTER OF GREENVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "803-244-9212"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCO Group, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 20, 2024; 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.