Pee Dee Health Care, PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

13928 Issued in SC

Legal business name

PEE DEE HEALTH CARE, PA

Practice address

211 South Jones Rd
Olanta, SC 29114

Phone

(843) 396-9723

Fax

(843) 396-9735

NPI assigned

Jun 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tony R Megna, JD

Title

Ceo

Phone

(803) 254-3676

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olanta Family Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1003043845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WEST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036901",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SOUTH JONES RD",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "29114",
            "telephone_number": "843-396-9723",
            "fax_number": "843-396-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "MEGNA",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-254-3676",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "13928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC 180",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olanta Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lower Florence County Hospital
• Karen McFadden
• Sherrlyn McFadden, NP
• Olanta Pharmacy
• Jolene Osorio, FNP
• Pee Dee Healthcare PA
• Priscilla L. Welch
• Reach Within Learning LLC
• Joel E Shockley III, RPH
• Johnny W Trogdon, MD

• All providers in Olanta, SC
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.