Active NPI
Eastern Carolina Pediatric Associates
- Pediatrics Physician
- Darlington, SC
National Provider Identifier
1073678868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- EASTERN CAROLINA PEDIATRIC ASSOCIATES
- Practice address
- 105 Industrial Way
Darlington, SC 29532-0000 - Phone
- (843) 395-0015
- Fax
- (843) 395-2573
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Morrison Farish, MD
- Title
- President
- Phone
- (843) 395-0015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
105 Industrial Way
Darlington, SC 29532-0000
Mailing address
PO Box 799
Darlington, SC 29540-0799
Phone (843) 395-0015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2390 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Eastern Carolina Pediatric Associates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Darlington, SC
- NPI 1245300714
-
- Pediatrics Physician
- Florence, SC
- NPI 1992749220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Darlington, SC
- NPI 1124050281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073678868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 799",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295400799",
"telephone_number": "843-395-0015",
"fax_number": "843-395-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 INDUSTRIAL WAY",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295320000",
"telephone_number": "843-395-0015",
"fax_number": "843-395-2573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN CAROLINA PEDIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARISH",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MORRISON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-395-0015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2390",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Darlington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.