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INTERRA EAST DIAGNOSTICS LLC
NPI 1851042915
Psychiatry & Neurology - Neurology in Greenville, SC

Active since January 11, 2022
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607(864) 315-2627 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Interra East Diagnostics Llc NPPES

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

INTERRA EAST DIAGNOSTICS LLC (NPI 1851042915) is a healthcare organization registered as a neurology in Greenville, South Carolina and active in the NPI registry since January 2022. The organization lists George Khouri, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1851042915
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameINTERRA EAST DIAGNOSTICS LLC
Location Address128 MILLPORT CIR STE 200Greenville, SC 29607-5573
Mailing Address128 Millport Cir Ste 200Greenville, SC 29607-5573 · (864) 315-2627
Phone(864) 315-2627
Organization SubpartNo
Authorized OfficialGeorge KhouriSole Member · (803) 917-8378
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
✔ NPI 1851042915 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.
128 MILLPORT CIR STE 200, Greenville, SC 29607
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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

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.

ANCHORED WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 315-1617
MS. CHAMEKA KONSWELA PARKS
Counselor (Professional)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 808-0218
SARAH JUNGMEE ROLFE NP
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 651-7257
BOSHUNA BURTON REGISTERED NURSE
Registered Nurse
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 705-4063
JENNA SIMONS
Behavior Technician
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (877) 264-6747
MR. JARED JOSHUA CARBONE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 477-3447
JARED J CARBONE APRN PMHNP-BC LLC
Nurse Practitioner (Psychiatric/Mental Health)
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 477-3447
MR. TIMOTHY G JACKSON MMFT, LMFT-A
Marriage & Family Therapist
128 MILLPORT CIR STE 200
GREENVILLE, SC 29607
Greenville County (864) 214-6257

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 Interra East Diagnostics LLC's NPI number?

The NPI number for Interra East Diagnostics LLC is 1851042915. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Interra East Diagnostics LLC located?

Interra East Diagnostics LLC is located at 128 Millport Cir Ste 200, Greenville, SC 29607. The listed phone number is (864) 315-2627.

What is Interra East Diagnostics 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 Interra East Diagnostics LLC was last updated on January 11, 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.