Active NPI
Restoration Medical Center of Greenville Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Greenville, SC
National Provider Identifier
1942049119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Acute Care Nurse Practitioner
- West Columbia, SC
- NPI 1699369660
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.