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POWDERSVILLE MEDICAL PARK
NPI 1518170182
Family Medicine in Greenville, SC

Active since May 08, 2007
15 ROE ROAD, GREENVILLE, SC 29611(864) 295-2308(864) 295-2635 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Powdersville Medical Park NPPES

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

POWDERSVILLE MEDICAL PARK (NPI 1518170182) is a healthcare organization registered as a family medicine in Greenville, South Carolina and active in the NPI registry since May 2007. The organization lists Kendall J Durham, Financial Service Rep-manager, as its authorized official.

NPPES Registry Identity

NPI1518170182
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMETTO HEALTH ALLIANCE
Location Address15 ROE ROADGreenville, SC 29611
Mailing AddressPo Box 2089Easley, SC 29641-2089 · (864) 855-5104 · Fax (864) 859-9362
Phone(864) 295-2308
Fax(864) 295-2635
Organization SubpartNo
Authorized OfficialKendall J DurhamFinancial Service Rep-manager · (864) 855-5104
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1518170182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

15 ROE ROAD, Greenville, SC 29611
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Other Names 1

Doing Business AsPowdersville Medical Park

Other Identifiers 1

MedicaidDE1915SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Palmetto Health Alliance's NPI number?

The NPI number for Palmetto Health Alliance is 1518170182. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Powdersville Medical Park.

Where is Palmetto Health Alliance located?

Palmetto Health Alliance is located at 15 Roe Road, Greenville, SC 29611. The listed phone number is (864) 295-2308.

What is Palmetto Health Alliance's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Palmetto Health Alliance was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.