NPIMap

Organization Active NPI

Piedmont Reproductive Endocrinology Group, PA

  • Specialist
  • Greenville, SC
National Provider Identifier
1992833719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP, PA
Practice address
17 Caledon CT
Suite C
Greenville, SC 29165
Phone
(864) 232-7734
Fax
(864) 232-7099
NPI assigned
Mar 1, 2007
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
John E Nichols Jr., MDNPI 1548248529
Title
Medical Director
Phone
(864) 232-7734

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

17 Caledon CT
Suite C
Greenville, SC 29165

Mailing address

17 Caledon Court
Suite C
Greenville, SC 29165
Phone (864) 232-7734

National Provider Directory

National Provider Directory

Locations

17 Caledon Ct
#C
Greenville, SC 29615
Phone (864) 232-7734

180 Wingo Way
Ste 130
Mount Pleasant, SC 29464
Phone (843) 881-7400

180 Wingo Way
Ste 103
Mt Pleasant, SC 29464
Phone (843) 216-8774

1330 Boiling Springs Rd
Ste 22
Spartanburg, SC 29303

1330 Boiling Springs Rd
Ste 2200
Spartanburg, SC 29303
Phone (864) 583-2669

5500 Front St
Ste 410
Summerville, SC 29486
Phone (843) 881-7400

5500 Front St
Ste 400
Summerville, SC 29486

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992833719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CALEDON COURT",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29165",
            "telephone_number": "864-232-7734",
            "fax_number": "864-232-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALEDON CT",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29165",
            "telephone_number": "864-232-7734",
            "fax_number": "864-232-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-232-7734",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.