Organization Active NPI

Aiken Professional Association, LLC.

  • Primary Care Clinic/Center
  • Aiken, SC
National Provider Identifier
1053795633
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1639 Issued in SC
Legal business name
AIKEN PROFESSIONAL ASSOCIATION, LLC.
Practice address
420 Society Hill Dr
Suite 200
Aiken, SC 29803-1731
Phone
(803) 649-7266
Fax
(803) 649-7158
NPI assigned
Jul 14, 2015
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Todd Evans
Title
VP
Phone
(610) 382-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1639 SC Primary

Addresses

Primary practice location

420 Society Hill Dr
Suite 200
Aiken, SC 29803-1731

Mailing address

420 Society Hill Dr
Suite 200
Aiken, SC 29803-1731
Phone (803) 649-7266

National Provider Directory

National Provider Directory

Locations

420 Society Hill Dr
#200
Aiken, SC 29803
Phone (803) 649-7266

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1053795633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SOCIETY HILL DR",
            "address_2": "SUITE 200",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298031731",
            "telephone_number": "803-649-7266",
            "fax_number": "803-649-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOCIETY HILL DR",
            "address_2": "SUITE 200",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298031731",
            "telephone_number": "803-649-7266",
            "fax_number": "803-649-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIKEN PROFESSIONAL ASSOCIATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-382-4334"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.