Vincent Edward Green
Family Medicine

Address: 106 Parkview Dr, Laurens, SC 29360-2652
Phone: 8649840571

Vincent Edward Green (NPI# 1366431025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1366431025
Entity Type Individual
Full Name Vincent Edward Green
Credential M.D
Gender Male
Practice Address 106 Parkview Dr
Laurens
SC 29360-2652
Practice Telephone 8649840571
Practice Fax Number 8649843610
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Mailing Telephone 8647976044
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-10-17
Last Update Date 2015-03-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 31396 SC

Other Provider Identifier

State Identifier Issuer Type Code
NJ 7523807 MEDICAID

Other Providers VINCENT GREEN

NPI Name Taxonomy Address Enumeration
1902849862 Vincent Wei-sheng Green Emergency Medicine 18321 Clark St, Tarzana, CA 91356-3501 2006-06-14

Physician Overview

NPI 1366431025
PAC ID by PECOS 7719973353
Professional Enrollment ID I20090225000526
Full Name Vincent Edward Green
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8644556900
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF PENNSYLVANIA - HAHNEMANN UNIVERSITY
Graduation Year 1995
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 8325950983
Number of Group Practice Members 1160
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420078 GHS GREENVILLE MEMORIAL HOSPITAL
420038 GHS LAURENS COUNTY MEMORIAL HOSPITAL

Office Location

Street Address 106 PARKVIEW DR
City LAURENS
State SC
Zip Code 29360-2652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033668264 Alison Paige Bull Physician Assistant 106 Parkview Dr, Laurens, SC 29360-2652 2016-09-29
1942755848 Upstate Affiliate Organization Clinic/Center 106 Parkview Dr, Laurens, SC 29360-2652 2016-08-20
1700259314 Laurie Michelle Runyans Nurse Practitioner 106 Parkview Dr, Laurens, SC 29360-2652 2015-11-04
1467821272 Tiffany Goggans Nurse Practitioner 106 Parkview Dr, Laurens, SC 29360-2652 2015-09-22
1710379193 Greenville Health System Clinic/Center 106 Parkview Dr, Laurens, SC 29360-2652 2015-02-23
1356747760 Jenna Michelle Schreiner Physician Assistant 106 Parkview Dr, Laurens, SC 29360-2652 2014-11-12
1235569658 Supplemental Health Care Clinic/Center 106 Parkview Dr, Laurens, SC 29360-2652 2013-11-21
1740554732 Robert C Allen-gasco Nurse Practitioner 106 Parkview Dr, Laurens, SC 29360-2652 2012-03-08
1316254907 Tamara Bechtel Respiratory Therapist, Certified 106 Parkview Dr, Laurens, SC 29360-2652 2010-09-03
1467603357 Ghs Partners In Health Family Medicine 106 Parkview Dr, Laurens, SC 29360-2652 2008-10-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629564323 Dj Healthcare Group Counselor 639 Sullivan Street, Laurens, SC 29360 2018-07-05
1770082158 Carrie Abigail Culbertson Counselor 112 Henderson Lane, Laurens, SC 29360 2018-02-12
1346785730 Virginia Smith Registered Nurse 1035 West Main Street, Laurens, SC 29360 2016-12-21
1245774066 Donna Gragg Licensed Practical Nurse 601 Lucas Ave, Laurens, SC 29360 2016-12-13
1174891840 Lori Hilley West Pharmacist 1518 W. Main St., Laurens, SC 29360 2011-12-08
1841575701 Lauren Allen Turner Speech-Language Pathologist 307 Pinehaven Street, Laurens, SC 29360 2011-10-11
1710217856 Rachael Carroll Occupational Therapy Assistant 379 Pinehaven St Ext, Laurens, SC 29360 2010-01-13
1437384245 Amy J Floyd Occupational Therapy Assistant 379 Pinehaven St. Ext, Laurens, SC 29360 2009-05-22
1275768228 Laurens Electric Cooperative Emergency Response System Companies 2254 Hwy 14, Laurens, SC 29360 2009-05-20
1396918694 Jerry Hughes Community Health Worker 379 Pinehaven St. Ext., Suite 120, Laurens, SC 29360 2008-04-08
Find all providers in zip 29360

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598862179 Cecil Y Brown Family Medicine 314 W Farley Ave, Laurens, SC 29360-3055 2006-09-17
1528099942 Catherine Joanne Brownlee Family Medicine 209 Lucas Avenue, Laurens, SC 29360 2006-07-05
1730432873 Self Medical Group Family Medicine 22580 Highway 76 E, Suite 100, Laurens, SC 29360-8439 2012-10-25
1467603357 Ghs Partners In Health Family Medicine 106 Parkview Dr, Laurens, SC 29360-2652 2008-10-09
1649421538 Ghs Partners In Health,inc Family Medicine 106 Parkview Dr, Laurens, SC 29360-2652 2008-10-09
1407956188 Cecil Y Brown M.d., P.a. Family Medicine 314 W Farley Ave, Laurens, SC 29360-3055 2006-09-23
1558464792 Melmoth Suhr Patterson Family Medicine 106 Parkview Dr, Laurens, SC 29360-2652 2006-09-06
1619990884 Self Regional Physician Services Family Medicine 22580 Highway 76 E, Suite 100, Laurens, SC 29360-8439 2006-07-26
1669416194 Howard Byron Parker Jr. Family Medicine 106 Parkview Dr, Laurens, SC 29360-2652 2006-06-15
1629011473 William Franklin Childers Family Medicine 106 Parkview Dr, Laurens, SC 29360-2652 2006-06-13
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Competitor

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City LAURENS
Zip Code 29360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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