Organization Active NPI

Greenville Podiatry Associates PA

  • Podiatrist
  • Greenville, SC
National Provider Identifier
1982632931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GREENVILLE PODIATRY ASSOCIATES PA
Practice address
5 Arborland Way
Greenville, SC 29615-2201
Phone
(864) 234-7370
Fax
(864) 234-0779
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Michael Jones, DPMNPI 1568418259
Title
President
Phone
(864) 234-7370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5 Arborland Way
Greenville, SC 29615-2201

Mailing address

5 Arborland Way
Greenville, SC 29615-2201
Phone (864) 234-7370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111129000716 SC Part B Supplier - Clinic/Group Practice 0941474001 Receives reassigned benefits from 3 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

5 Arborland Way
Greenville, SC 29615
Phone (864) 234-7370

Practitioners & affiliated clinicians

Practitioners 3

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982632931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ARBORLAND WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152201",
            "telephone_number": "864-234-7370",
            "fax_number": "864-234-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ARBORLAND WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152201",
            "telephone_number": "864-234-7370",
            "fax_number": "864-234-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PODIATRY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-234-7370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.