Wellformed AI

NPI 1821679580 · live from the CMS NPI Registry

Bon Secours Medical Group Greenville Specialty Care LLC

Internal Medicine, Cardiovascular Disease in Greenville, SC. National Provider Identifier 1821679580, active.

NPI record

NPI1821679580 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location1 Saint Francis Dr, Greenville, SC 29601
Practice phone864-603-6099
Mailing address4600 Mcauley Pl Ste 600, Blue Ash, OH 45242
EnumeratedApril 15, 2021
Last updatedMarch 11, 2026
Authorized officialCassie Lowe, System Director, Payer Delegation &

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology207V00000X—
Surgery208600000X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Orthopaedic Surgery207X00000X—
Psychologist103T00000X—
Pediatrics, Pediatric Pulmonology2080P0214X—
Dermatology207N00000X—
Pediatrics208000000X—
Pediatrics, Neurodevelopmental Disabilities2080P0008X—
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X—
Internal Medicine, Hematology & Oncology207RH0003X—
Internal Medicine, Sleep Medicine207RS0012X—
Internal Medicine, Geriatric Medicine207RG0300X—
Psychiatry & Neurology, Neurology2084N0400X—
Internal Medicine, Cardiovascular Disease primary207RC0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.