Affinity Palliative South Carolina LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

AFFINITY PALLIATIVE SOUTH CAROLINA LLC

Doing business as

Affinity Palliative Care

Practice address

3441 Pelham Rd Ste 101
Greenville, SC 29615-4184

Phone

(864) 482-7110

NPI assigned

Apr 7, 2022

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick Cantrell

Title

Ceo

Phone

(205) 949-0400

Specialties & licenses 1

Addresses

Other names 1

• Affinity Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Jeanine Bowen, APRN

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1215307681

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1992446397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 PELHAM RD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154184",
            "telephone_number": "864-482-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY PALLIATIVE SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-949-0400"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.