Organization Active NPI

John J Kirkland MD PA

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1023289188
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6401 Issued in SC
Legal business name
JOHN J KIRKLAND MD PA
Practice address
110 W Pine St
Florence, SC 29501-4712
Phone
(843) 662-8468
Fax
(843) 662-8469
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
John J Kirkland, MD
Title
Physician
Phone
(843) 662-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 6401 SC Primary

Addresses

Primary practice location

110 W Pine St
Florence, SC 29501-4712

Mailing address

110 W Pine St
Florence, SC 29501-4712
Phone (843) 662-8468

Other identifiers 1

IdentifierTypeStateIssuer
064012MedicaidSC

National Provider Directory

National Provider Directory

Locations

110 W Pine St
Florence, SC 29501
Phone (843) 662-8468

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023289188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014712",
            "telephone_number": "843-662-8468",
            "fax_number": "843-662-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014712",
            "telephone_number": "843-662-8468",
            "fax_number": "843-662-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J KIRKLAND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-662-8468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "6401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064012",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.