Organization Active NPI

Carolinas Medical Alliance Inc

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1053597476
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINAS MEDICAL ALLIANCE INC
Practice address
1925 Hoffmeyer Rd
Florence, SC 29501-4011
Phone
(843) 673-7550
Fax
(843) 673-7553
NPI assigned
Jan 16, 2008
Organization subpart
Yes
Parent organization
CAROLINAS MEDICAL ALLIANCE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(877) 892-9813

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1925 Hoffmeyer Rd
Florence, SC 29501-4011

Mailing address

1925 Hoffmeyer Rd
Florence, SC 29501-4011
Phone (843) 673-7550

Other names 1

  • Carolinas Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Lake City Family Medici

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1053597476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HOFFMEYER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014011",
            "telephone_number": "843-673-7550",
            "fax_number": "843-673-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 HOFFMEYER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014011",
            "telephone_number": "843-673-7550",
            "fax_number": "843-673-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL ALLIANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS MEDICAL ALLIANCE INC",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 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.