GREENWOOD GENETICS CENTER, INC.
NPI 1104013663
Medical Genetics - Clinical Genetics (M.D.) in North Charleston, SC

Active since September 28, 2007
3520 W MONTAGUE AVE STE 104, NORTH CHARLESTON, SC 29418(843) 746-1001(843) 846-1002 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Jan 29, 2020, Sep 18, 2018 and 1 more (4 updates tracked since 2017).

About Greenwood Genetics Center, Inc. NPPES

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

GREENWOOD GENETICS CENTER, INC. (NPI 1104013663) is a healthcare organization registered as a clinical genetics (m.d.) in North Charleston, South Carolina and active in the NPI registry since September 2007. The organization lists Paul Pridmore, Coo, as its authorized official.

NPPES Registry Identity

NPI1104013663
Entity TypeOrganization
Primary Taxonomy207SG0201X
Legal Business NameGREENWOOD GENETICS CENTER, INC.
Location Address3520 W MONTAGUE AVE STE 104North Charleston, SC 29418-6083
Mailing Address101 Gregor Mendel CirGreenwood, SC 29646-2316 · (864) 388-1072 · Fax (864) 388-1052
Fax(843) 846-1002
Organization SubpartNo
Authorized OfficialPaul PridmoreCoo · (864) 941-8100
Enumeration DateSeptember 28, 2007
Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
NPI 1104013663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
3520 W MONTAGUE AVE STE 104, North Charleston, SC 29418

Other Identifiers 1

MedicaidPA2005SC

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

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Genetic Counselor, MS
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Genetic Counselor, MS
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Genetic Counselor, MS
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Medical Genetics (Clinical Genetics (M.D.))
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Medical Genetics (Clinical Genetics (M.D.))
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Medical Genetics (Clinical Genetics (M.D.))
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Genetic Counselor, MS
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418
Medical Genetics (Clinical Genetics (M.D.))
3520 W MONTAGUE AVE STE 104
NORTH CHARLESTON, SC 29418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenwood Genetics Center, Inc.'s NPI number?

The NPI number for Greenwood Genetics Center, Inc. is 1104013663. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Greenwood Genetics Center, Inc. located?

Greenwood Genetics Center, Inc. is located at 3520 W Montague Ave Ste 104, North Charleston, SC 29418. The listed phone number is (843) 746-1001.

What is Greenwood Genetics Center, Inc.'s specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

What insurance does Greenwood Genetics Center, Inc. accept?

Health plans from BlueCross BlueShield of South Carolina list Greenwood Genetics Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greenwood Genetics Center, Inc. was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.