Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Ridge Group Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1720310055

Green Ridge Group Inc is a Geriatric Medicine (Family Medicine) Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Forum Dr Ste 3-255
Columbia, SC 29229-7944
Phone: (803) 795-5435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 13651 (SC)

Record details

NPI number1720310055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Norris — Ceo · (803) 795-5435
NPI enumeratedFebruary 11, 2010
Last updated in NPPESFebruary 11, 2010
Mailing address100 Forum Dr, Ste 3-255, Columbia, SC 29229-7944

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