GREENWOOD GENETICS CENTER, INC. – NPI #1104013663
Medical Genetics

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

GREENWOOD GENETICS CENTER, INC. is a medical geneticist located in NORTH CHARLESTON, SC. NPPES has assigned the NPI number 1104013663 to GREENWOOD GENETICS CENTER, INC. on September 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207SG0201X from the Health Care Provider Taxonomy code set, which is classified as Medical Genetics, specializing in Clinical Genetics (M.D.)

The NPI profile was previously updated about 4 years ago on Feb 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREENWOOD GENETICS CENTER, INC. below.

NPI Profile for
GREENWOOD GENETICS CENTER, INC.

NPI Number
1104013663
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREENWOOD GENETICS CENTER, INC.
Primary location
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418-6083
Phone: (843) 746-1001 Fax: (843) 846-1002
Mailing address
101 GREGOR MENDEL CIR
GREENWOOD, SC 29646-2316
Phone: (864) 388-1072 Fax: (864) 388-1052
Organization Subpart
No
Authorized Official
PAUL PRIDMORE
COO
Phone: (864) 941-8100
Updated
Certification Date
Feb 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GREENWOOD GENETICS CENTER, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCPA2005
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.