Healthcare Provider Details

I. General information

NPI: 1447127683
Provider Name (Legal Business Name): JUNIPER BIRTHING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

IV. Provider business mailing address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

V. Phone/Fax

Practice location:
  • Phone: 864-519-0054
  • Fax: 864-447-5707
Mailing address:
  • Phone: 864-519-0054
  • Fax: 864-447-5707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: JANET GOFF
Title or Position: OWNER/PROVIDER
Credential: CNM
Phone: 864-519-0054