PMC Physician Network, L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PMC PHYSICIAN NETWORK, L.L.C.

Doing business as

Family Medicine Associates

Practice address

1023 Creekside Medical Dr
York, SC 29745-8624

Phone

(803) 684-3738

Fax

(803) 684-3808

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 2

Addresses

Other names 1

• Family Medicine Associates Doing business as

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1033540182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742877",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742877",
            "telephone_number": "803-684-3738",
            "fax_number": "803-684-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CREEKSIDE MEDICAL DR",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458624",
            "telephone_number": "803-684-3738",
            "fax_number": "803-684-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PHYSICIAN NETWORK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PH and F Inc (Medicap Pharmacy)
• Venessa Amanda Phillips, FNP-BC, FNP-C
• Piedmont Physician Network LLC
• Katherine Piscatelli, DPT, ATC
• Taylor Addison Plummer-Fox
• PMC Physician Network, L.L.C.
• PMC Physician Network, LLC (Piedmont West Urgent Care Center)
• Jacob Alexander Pope, DPT
• Deanna Pounder
• Ethan Powell, PTA

• Internal Medicine Physician in York, SC
• Providers in York, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.