Southern States Physical Medicine and Rehabilitation Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5224 Issued in SC

Legal business name

SOUTHERN STATES PHYSICAL MEDICINE AND REHABILITATION CENTER

Practice address

1002 N Woodland Dr
Lancaster, SC 29720-1966

Phone

(803) 283-8442

Fax

(803) 286-4604

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Pam James

Title

Office Manager

Phone

(803) 283-8442

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southern States Family Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Southern States Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern States Physical Medicine and Rehabiliation Center

  • Chiropractor
  • Fort Mill, SC
  • NPI 1114943099
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn J Geada, D.C.

  • Chiropractor
  • Lancaster, SC
  • NPI 1639129638
  Medicare reassignment NPD
• Mark Kevern, PT

  • Physical Therapist
  • Arden, NC
  • NPI 1497850465
  NPD
• Richard F Biggers, P.T.

  • Physical Therapist
  • Lake Wylie, SC
  • NPI 1114015914
  NPD (past)
• Adam H Cooper, D.C.

  • Chiropractor
  • Fort Mill, SC
  • NPI 1508816927
  NPD (past)
• Chad S Gindi, PT,DPT

  • Physical Therapist
  • Lancaster, SC
  • NPI 1023170255
  NPD (past)
• Sarah Anne Hock, D.C.

  • Chiropractor
  • Lancaster, SC
  • NPI 1508148925
  NPD (past)
• Roland C Kale, DC

  • Chiropractor
  • Lancaster, SC
  • NPI 1639130792
  NPD (past)
• Sudesh H Kedar, MD

  • Family Medicine Physician
  • Lancaster, SC
  • NPI 1124068945
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023067014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-283-8442",
            "fax_number": "803-286-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-283-8442",
            "fax_number": "803-286-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN STATES PHYSICAL MEDICINE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-283-8442"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2158",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH200",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern States Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Carolina CVS Pharmacy LLC
• South Carolina Dhec
• South Carolina Em-I Medical Services, PC
• South Carolina Podiatric Physicians and Surgeons Group, LLC
• Southern Comfort Anesthesia, LLC
• Southern States Physical Therapy LLC
• Springs Memorial Hospital
• Springs Memorial Hospital Auxiliary, Inc.
• Adarsh Kumar Srivastava, MD
• Angela Lynn Stacks, FNP-C

• Physical Therapist in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.