Primary Care of Union PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PRIMARY CARE OF UNION PC

Practice address

128 Medical Sciences Dr
Union, SC 29379-8609

Phone

(864) 441-0802

Fax

(864) 441-0801

NPI assigned

May 16, 2018

Last updated

Aug 18, 2026By 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

Tina Fowler, NPNPI 1326479296

Title

Nurse Practitioner

Phone

(864) 441-0802

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063902971. Details of each certification follow.

• CCN 873802 Rural health clinic · Active · Details

Rural health clinic certification: CCN 873802

Legal name

PRIMARY CARE OF UNION PC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jun 27, 2019

Last certification

Dec 30, 2021

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

May 14, 2018 in SC

Enrollment address

327 W South St
Union, SC 29379-2838

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Joseph A Boscia III, MD

  • Pulmonary Disease Physician
  • Spartanburg, SC
  • NPI 1669437257

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Gregory J Feldman, MD

  • Pulmonary Disease Physician
  • Columbia, SC
  • NPI 1710942305

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Tina M Fowler, APRN

  • Nurse Practitioner
  • Union, SC
  • NPI 1326479296

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 4

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.

• Tina M Fowler, APRN

  • Nurse Practitioner
  • Union, SC
  • NPI 1326479296
  Medicare reassignment NPD Authorized official
• Julia Harris Christian, FNP

  • Family Nurse Practitioner
  • Greenwood, SC
  • NPI 1144881079
  NPD
• Casey Jean Moriah Perkins

  • Nurse Practitioner
  • Union, SC
  • NPI 1497479349
  NPD
• Gregory J Feldman, MD

  • Pulmonary Disease Physician
  • Columbia, SC
  • NPI 1710942305
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1063902971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MEDICAL SCIENCES DR",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798609",
            "telephone_number": "864-441-0802",
            "fax_number": "864-441-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEDICAL SCIENCES DR",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798609",
            "telephone_number": "864-441-0802",
            "fax_number": "864-441-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF UNION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "864-441-0802",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC238",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry L Phillips
• Piedmont Medical Associates
• James W Platt, MDIV
• Richard R Poole, OD
• Jan H Postma, M.D.
• Radiology Consultants of Union, PA (Muehlenbein Radiology Associates)
• Tiffanie Randolph
• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Julmary Mayrin Reichard, LDO 1456

• Rural Health Clinic/Center in Union, SC
• Providers in Union, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.