CJS Medical Services, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

17688 Issued in SC

Legal business name

CJS MEDICAL SERVICES, PC

Practice address

1455 Hagan Avenue
Huger, SC 29450

Phone

(843) 336-6436

Fax

(843) 336-6836

NPI assigned

Dec 14, 2015

Organization subpart

Yes

Parent organization

CJS MEDICAL SERVICES, PCAs reported in NPPES

Name

Michael David Sanders, M.D.

Title

President

Phone

(803) 926-0213

Part of

CJS Medical Services PC

• Nucor Berkeley Family Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2015.

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1013382290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 BAKER MILL LAKE LN",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538327",
            "telephone_number": "803-926-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HAGAN AVENUE",
            "city": "HUGER",
            "state": "SC",
            "postal_code": "29450",
            "telephone_number": "843-336-6436",
            "fax_number": "843-336-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJS MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CJS MEDICAL SERVICES, PC",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-926-0213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "17688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nucor Berkeley Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bare Therapy LLC
• Sharon Michelle Burns, CERTIFIED MEDICAL AS
• Angela Rose Engle, MA, NCC
• Margaretta C. Grimm, APN
• Kristi Ann Jones, LMFTA
• Rodney Darrell Lockwood
• Eunice Price Moore, LISW-CP

• All providers in Huger, SC
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.