MEDICARE: BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207XS0106X	Orthopaedic Hand Surgery Physician
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
3	207XS0117X	Orthopaedic Surgery of the Spine Physician
4	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
5	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
6	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1760361174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 631341
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-1341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 N MAIN ST
Second Line	:
City	:	FOUNTAIN INN
State	:	SC
Zip	:	29644-1320
Country	:	US
Telephone Number	:	864-234-7654
Fax Number	:	864-675-1657

Authorized Official
Title or Position	:	DIRECTOR PAYER DELEGATION
Name	:	CASSIE LOWE
Credential	:
Telephone Number	:	513-952-5210

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

Similar Medicare Providers

1194769661 — PAUL DOUGLAS MOORE M.D.
Practice Location Address:

910 N MAIN ST STE 100
FOUNTAIN INN, SC
29644-1320

Practice Phone: 864-967-4982
Practice Fax:

1063049658 — MR. ANAND R SWAMY DO
Practice Location Address:

910 N MAIN ST
FOUNTAIN INN, SC
29644-1320

Practice Phone: 864-967-4982
Practice Fax: 888-372-4903

1770420077 — SUDDUTH MANAGEMENT GROUP LLC
Practice Location Address:

101 S MAIN ST STE A
FOUNTAIN INN, SC
29644-1909

Practice Phone: 864-531-3300
Practice Fax: 864-531-3375

1942137625 — INFINITELY MORE COUNSELING, LLC
Practice Location Address:

711 FAIRVIEW ST
FOUNTAIN INN, SC
29644-1541

Practice Phone: 864-367-8413
Practice Fax:

1285614479 — DR. ROBERT MICHAEL HELLAMS
Practice Location Address:

200 N NELSON DR
FOUNTAIN INN, SC
29644-9021

Practice Phone: 864-522-3270
Practice Fax: 864-522-6275

1407821911 — PERSONAL THERAPY INC
Practice Location Address:

823 S OLD FAIRVIEW RD
FOUNTAIN INN, SC
29644-9726

Practice Phone: 864-871-1478
Practice Fax: 864-243-2428

Directions to “BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.