Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GEODE HEALTH OF SOUTH CAROLINA, LLC
NPI 1295655587
Psychiatry & Neurology - Neurology in Fort Mill, SC

Q: What is Geode Health Of South Carolina, LLC's NPI number?

The NPI number for Geode Health Of South Carolina, LLC is 1295655587. It was assigned to this organization in the NPPES registry on July 17, 2026.

Q: What is Geode Health Of South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since July 17, 2026

111 CLEBOURNE ST STE 310, FORT MILL, SC 29715(888) 902-1704 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Geode Health Of South Carolina, Llc NPPES

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

GEODE HEALTH OF SOUTH CAROLINA, LLC (NPI 1295655587) is a healthcare organization registered as a neurology in Fort Mill, South Carolina and active in the NPI registry since July 2026. The organization lists Brandy Marriner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1295655587

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameGEODE HEALTH OF SOUTH CAROLINA, LLC

Location Address111 CLEBOURNE ST STE 310Fort Mill, SC 29715-1758

Mailing Address1211 W 22nd St Ste 406Oak Brook, IL 60523-2169 · (888) 902-1704

Phone(888) 902-1704

Organization SubpartNo

Authorized OfficialBrandy MarrinerCredentialing Manager · (630) 912-4241

Enumeration DateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1295655587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

111 CLEBOURNE ST STE 310, Fort Mill, SC 29715

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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

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 Geode Health Of South Carolina, LLC's NPI number?

The NPI number for Geode Health Of South Carolina, LLC is 1295655587. It was assigned to this organization in the NPPES registry on July 17, 2026.

Where is Geode Health Of South Carolina, LLC located?

Geode Health Of South Carolina, LLC is located at 111 Clebourne St Ste 310, Fort Mill, SC 29715. The listed phone number is (888) 902-1704.

What is Geode Health Of South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Geode Health Of South Carolina, LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.