Primary Care of Aiken, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

29368 Issued in SC

Legal business name

PRIMARY CARE OF AIKEN, LLC

Practice address

191 Centre South Blvd
Aiken, SC 29803-6313

Phone

(803) 648-5542

Fax

(803) 648-8815

NPI assigned

Oct 12, 2007

Last updated

Sep 11, 2012By 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

Dr. Ann M Kulik, MD

Title

President

Phone

(803) 648-5542

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bela K Udani, M.D

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1104878784
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1043408107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CENTRE SOUTH BLVD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036313",
            "telephone_number": "803-648-5542",
            "fax_number": "803-648-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CENTRE SOUTH BLVD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036313",
            "telephone_number": "803-648-5542",
            "fax_number": "803-648-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF AIKEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "KULIK",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-648-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "29368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet C Powell, W.H.N.P.
• Christina Danielle Price, LPC
• Dorean Price, RN, ADMINISTRATOR
• Cara Priest, PT, DPT
• Prima Pathology, P.a.
• Professional Pathology Associates Inc
• Bobbiann Profitt, LPC, LAC
• Progressive Pediatric Rehab, LLC
• Progressive Physical Therapy, PA (Progressive Physical Therapy North Aiken)
• Ashley Jarratt Protzman, NP-C

• Primary Care Clinic/Center in Aiken, SC
• Providers in Aiken, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.