NPIMap

Organization Active NPI

Carolina Dermatology of Greenville, PA

  • Dermatology Physician
  • Greenville, SC
National Provider Identifier
1962598334
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CAROLINA DERMATOLOGY OF GREENVILLE, PA
Practice address
920 Woodruff Rd
Greenville, SC 29607-2445
Phone
(864) 233-6338
Fax
(864) 235-1982
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Patricia P Westmoreland, M.D.
Title
President/Owner
Phone
(864) 233-6338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

920 Woodruff Rd
Greenville, SC 29607-2445

Mailing address

920 Woodruff Rd
Greenville, SC 29607-2445
Phone (864) 233-6338

Other identifiers 1

IdentifierTypeStateIssuer
GP2368MedicaidSC

National Provider Directory

National Provider Directory

Locations

850 S Pleasantburg Dr
Ste 103
Greenville, SC 29607
Phone (864) 558-0200

5 Stevens St
Fl 3
Greenville, SC 29605

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1962598334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072445",
            "telephone_number": "864-233-6338",
            "fax_number": "864-235-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072445",
            "telephone_number": "864-233-6338",
            "fax_number": "864-235-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DERMATOLOGY OF GREENVILLE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "WESTMORELAND",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "864-233-6338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2368",
            "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 Jun 10, 2011; 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.