NPIMap

Organization Active NPI

Nationwide Physicians Services LLC

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1083470041
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NATIONWIDE PHYSICIANS SERVICES LLC
Practice address
106 New Salem Dr
Anderson, SC 29625-5816
Phone
(864) 314-9214
Fax
(864) 712-9198
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Sonny Ghany
Title
Business Partner
Phone
(864) 314-9214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

106 New Salem Dr
Anderson, SC 29625-5816

Mailing address

PO Box 1711
Anderson, SC 29622-1711
Phone (864) 314-9214

National Provider Directory

National Provider Directory

Locations

661 Rutherford Rd
Greenville, SC 29609
Phone (803) 266-3229

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1083470041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1711",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221711",
            "telephone_number": "864-314-9214",
            "fax_number": "864-712-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NEW SALEM DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296255816",
            "telephone_number": "864-314-9214",
            "fax_number": "864-712-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE PHYSICIANS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GHANY",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "864-314-9214"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.