Greenville Age Management Medical Institute, LLC
NPI 1275963175 · Primary Care Clinic/Center · Greenville, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Greenville Age Management Medical Institute, LLC is a Primary Care Clinic/Center organization in Greenville, SC (NPI 1275963175).
Provider details
- NPI number
- 1275963175
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcela Young, Owner(864) 365-0100
- License
- 14183 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-14
- Last updated
- 2013-11-14
Frequently asked questions
- What is Greenville Age Management Medical Institute, LLC's NPI number?
- Greenville Age Management Medical Institute, LLC's National Provider Identifier (NPI) is 1275963175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greenville Age Management Medical Institute, LLC?
- Greenville Age Management Medical Institute, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Greenville Age Management Medical Institute, LLC located?
- Greenville Age Management Medical Institute, LLC's practice location on file with NPPES is 540 Old Howell Rd, Greenville, SC 29615-1969.
- What is Greenville Age Management Medical Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Greenville Age Management Medical Institute, LLC is (864) 365-0100.
- Does Greenville Age Management Medical Institute, LLC accept Medicare?
- Greenville Age Management Medical Institute, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Greenville Age Management Medical Institute, LLC?
- The authorized official listed on Greenville Age Management Medical Institute, LLC's NPPES record is Marcela Young, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greenville Age Management Medical Institute, LLC's NPI active?
- Yes — Greenville Age Management Medical Institute, LLC's NPI (1275963175) is active in the NPPES registry as of the last update on 2013-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.