Active NPI
Orangeburg Primary Preventive & Occupational Medicine
- Family Medicine Physician
- Orangeburg, SC
National Provider Identifier
1003833583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15892
- Legal business name
- ORANGEBURG PRIMARY PREVENTIVE & OCCUPATIONAL MEDICINE
- Practice address
- 1620 Broughton Street
Orangeburg, SC 29115 - Phone
- (803) 531-6030
- Fax
- (803) 531-6056
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Singleton, MD
- Title
- Owner
- Phone
- (803) 531-6030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15892 | SC | Primary |
Addresses
Primary practice location
1620 Broughton Street
Orangeburg, SC 29115
Mailing address
PO Box 2549
1620 Broughton Street
Orangeburg, SC 29115
Phone (803) 531-6030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1943 | Medicaid | SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1011464 | Orangeburg Primary Preventive & Occupational | Provider-performed microscopy | Apr 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Orangeburg, SC
- NPI 1013953330
-
- Family Medicine Physician
- Orangeburg, SC
- NPI 1699882662
-
- Family Nurse Practitioner
- Orangeburg, SC
- NPI 1508882184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1003833583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2549",
"address_2": "1620 BROUGHTON STREET",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "29115",
"telephone_number": "803-531-6030",
"fax_number": "803-531-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 BROUGHTON STREET",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "29115",
"telephone_number": "803-531-6030",
"fax_number": "803-531-6056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGEBURG PRIMARY PREVENTIVE & OCCUPATIONAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-531-6030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "15892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1943",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.