BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC
NPI 1013670207
Family Medicine in Greenville, SC

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since October 15, 2021

1 SAINT FRANCIS DR, GREENVILLE, SC 29601(864) 603-6099 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bon Secours Medical Group Greenville Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC (NPI 1013670207) is a healthcare organization registered as a family medicine in Greenville, South Carolina and active in the NPI registry since October 2021. The organization lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013670207

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC

Location Address1 SAINT FRANCIS DRGreenville, SC 29601-3955

Mailing Address1701 Mercy Health PlCincinnati, OH 45237-6147

Phone(864) 603-6099

Organization SubpartNo

Authorized OfficialWilbur GayCfo · (864) 561-7672

Enumeration DateOctober 15, 2021

NPPES CertifiedOctober 15, 2021

✔ NPI 1013670207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSpecialistTaxonomy 174400000X

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X

Also ListedPediatricsTaxonomy 208000000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

1 SAINT FRANCIS DR, Greenville, SC 29601

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2322275

Bon Secours St. Francis Internal Medicine Residency Practice · Greenville, SC

Active · expires Apr 16, 2027

CLIA Number42D2322275

Laboratory TypePhysician Office

Certificate Effective DateApril 17, 2025

Certificate Expiration DateApril 16, 2027

Laboratory DirectorJoanne Daniel-Saunders

Laboratory Phone(864) 767-6279

Laboratory LocationBon Secours St. Francis Internal Medicine Residency Practice317 St Francis Dr Suite 210, Greenville, SC 29601

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELAINE MARY HAULE M.D.

Emergency Medicine