SC Med LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD40247 Issued in SC

Legal business name

SC MED LLC

Practice address

10436 Winslet Dr
Charlotte, NC 28277-2956

Phone

(702) 742-2036

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Lavaniya Beesley, M.D.

Title

Member

Phone

(702) 742-2036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083137616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 WINSLET DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772956",
            "telephone_number": "702-742-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 WINSLET DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772956",
            "telephone_number": "702-742-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEESLEY",
        "authorized_official_first_name": "LAVANIYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-742-2036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD40247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCA2449074",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Edmiston Sayess, CRNA
• Jimica Sayles
• Demonica Joy Saylor, LMFT
• Kelly Saylor
• Samuel C Sayson, MD
• Caitlin Scagnelli, LCASA
• Jakyra Scaife, RN
• Robin Scaife, NP
• Melinda Sue Scales, M.S.
• Renyta Nyasha Scales, MD, FAAP

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.