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POWDERSVILLE MEDICAL PARK
NPI 1568412476
Family Medicine in Greenville, SC

Active since May 11, 2006
15 ROE RD, GREENVILLE, SC 29611(864) 295-2308(864) 295-2635 Get Directions Write a Review

NPPES record last updated: April 20, 2008. 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 1568412476) is a healthcare organization registered as a family medicine in Greenville, South Carolina and active in the NPI registry since May 2006. The organization lists Kendall Durham, Patient Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1568412476
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMETTO HEALTH ALLIANCE EASLEY
Location Address15 ROE RDGreenville, SC 29611-7423
Mailing AddressPo Box 2089Easley, SC 29641-2089 · (864) 855-5104 · Fax (864) 859-9362
Phone(864) 295-2308
Fax(864) 295-2635
Organization SubpartYes
Authorized OfficialKendall DurhamPatient Financial Manager · (864) 855-5104
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1568412476 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 RD, Greenville, SC 29611
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Other Names 1

Doing Business AsPowdersville Medical Park

Other Identifiers 3

Medicare PIN5740SC
Other=========-532SC · Blue Cross
MedicaidGP2174SC

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

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.

MISS RACHEL PAULINE LANGENDORFER APRN, BC
Nurse Practitioner (Family)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
KELLY MARIE PURCELL D.O.
Family Medicine
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
PRISMA HEALTH-UPSTATE
Clinic/Center (Rural Health)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
MS. KATHRYN WILKIE PA-C
Physician Assistant
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
PRISMA HEALTH-UPSTATE
Clinic/Center (Multi-Specialty)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
BRANDON JOSEPH CROUCH M.D.
Family Medicine
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
PHILIP STONECYPHER MD
Family Medicine (Sports Medicine)
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308
JEFFREY LEISTER
Nurse Practitioner
15 ROE RD
GREENVILLE, SC 29611
Greenville County (864) 295-2308

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 Easley's NPI number?

The NPI number for Palmetto Health Alliance Easley is 1568412476. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Powdersville Medical Park.

Where is Palmetto Health Alliance Easley located?

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

What is Palmetto Health Alliance Easley'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 Easley was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.