Active NPI
Faith Lawrence Polkey, M.D., M.P.H.
- Pediatrics Physician
- Port Royal, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23511
- Practice address
- 1320 Ribaut Rd
Port Royal, SC 29935-1118 - Phone
- (843) 986-0900
- Fax
- (843) 322-1875
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23511 | SC | Primary |
Addresses
Primary practice location
1320 Ribaut Rd
Port Royal, SC 29935-1118
Mailing address
1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone (843) 986-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23511 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current | Accepting new patients |
Locations
721 Okatie Hwy
Okatie, SC 29909
1320 Ribaut Rd
Port Royal, SC 29935
Phone (843) 322-1833
721 N Okatie Hwy
#170
Ridgeland, SC 29936
Interoperability endpoints
- faith.polkey@bjhchs.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/EICIBD/Endpoint/EICIBD
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bjhchs | Federally qualified health center | Operational/Managerial Control | Apr 7, 2022 |
| Leroy E. Browne Medical Center | Federally qualified health center | Corporate Officer Operational/Managerial Control |
Apr 7, 2022 Apr 17, 2022 |
| Port Royal Medical Center II | Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Apr 17, 2022 Apr 17, 2022 Apr 17, 2022 |
| Varnville Medical Center | Federally qualified health center | Operational/Managerial Control | Apr 17, 2022 |
| Bjhchs Mobile Unit | Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Apr 17, 2022 Apr 17, 2022 Apr 17, 2022 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Port Royal, SC
- NPI 1790138014
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Varnville, SC
- NPI 1073318259
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- St. Helena Island, SC
- NPI 1427302470
Corporate Officer, Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Okatie, SC
- NPI 1548119118
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
Operational/Managerial Control
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1003885526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 RIBAUT RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299351118",
"telephone_number": "843-986-0900",
"fax_number": "843-322-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 RIBAUT RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299351118",
"telephone_number": "843-986-0900",
"fax_number": "843-322-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLKEY",
"first_name": "FAITH",
"middle_name": "LAWRENCE",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "23511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Royal, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.