GREENWOOD SURGICAL ASSOC. NPI 1154437515

NPI Information

  • NPI: 1154437515
  • Provider Name: GREENWOOD SURGICAL ASSOC.
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • CLIA Number: 42D0693682
  • Address: 160 ACADEMY AVE
    GREENWOOD, SC
    ZIP 29646
  • Phone: (864) 223-8090

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NPI Details

GREENWOOD SURGICAL ASSOC. is a surgery in Greenwood, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREENWOOD SURGICAL ASSOC. NPI is 1154437515. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

160 ACADEMY AVE
GREENWOOD, SC
ZIP 29646-808
Phone: (864) 223-8090
Fax: (864) 223-4026

The provider's authorized official is Hope A Pruitt .
The authorized official title is Practice Administrator and has the following contact phone number (864) 223-8090.

The CLIA number assigned to this NPI record is 42D0693682 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 4/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryNo
2208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA7037MEDICAIDSOUTH CAROLINA
21391MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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