County of Abbeville of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF ABBEVILLE OF COMMISSIONERS

Practice address

903 W Greenwood St Ste 1400
Abbeville, SC 29620-5660

Phone

(864) 366-2400

Fax

(864) 366-4608

NPI assigned

Jan 11, 2006

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darren Maddox

Title

Office Manager

Phone

(864) 366-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1013996867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84278",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290730005",
            "telephone_number": "803-957-7111",
            "fax_number": "803-957-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W GREENWOOD ST STE 1400",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205660",
            "telephone_number": "864-366-2400",
            "fax_number": "864-366-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ABBEVILLE OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-366-2400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0202",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Hodges Casey, D.O.
• Christopher Michael Ceraldi, MD
• Jessica Chapman
• Chase Transportation LLC
• April L Coley, LPC
• Sonja Black Crowe, RPT
• D & D Tree Services, Inc (D&D HOME OXYGEN,Inc)
• Leandra Davis, RN
• Nikyia Davis
• Patricia Lynn Day, PHYSICAL THERAPIST A

• Land Ambulance in Abbeville, SC
• Providers in Abbeville, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.