NPIMap

Organization Active NPI

Smith Medical Clinic

  • Community Health Clinic/Center
  • Pawley's Island, SC
National Provider Identifier
1043684632
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
MD22103 Issued in SC
Legal business name
SMITH MEDICAL CLINIC
Practice address
116 Baskervill Dr
Pawleys Island, SC 29585-6185
Phone
(843) 237-2672
Fax
(843) 237-0369
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mrs. Anne Faul
Title
Executive Director
Phone
(843) 237-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X MD22103 SC Primary

Addresses

Primary practice location

116 Baskervill Dr
Pawleys Island, SC 29585-6185

Mailing address

116 Baskervill Dr
Pawleys Island, SC 29585-6185
Phone (843) 237-2672

National Provider Directory

National Provider Directory
Tax ID family
Smith Medical Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

116 Baskervill Dr
Pawleys Island, SC 29585
Phone (843) 237-2672

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1043684632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BASKERVILL DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856185",
            "telephone_number": "843-237-2672",
            "fax_number": "843-237-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BASKERVILL DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856185",
            "telephone_number": "843-237-2672",
            "fax_number": "843-237-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "FAUL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-237-2672",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "SC",
            "license": "MD22103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.