Rice Planter Pediatrics LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25971 Issued in SC

Legal business name

RICE PLANTER PEDIATRICS LLC

Practice address

416 Robertson Blvd
Ste D
Walterboro, SC 29488-2952

Phone

(843) 782-5437

Fax

(843) 782-4269

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By 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

Dr. Cheryl Antionette Grant, MD

Title

Owner

Phone

(843) 509-5848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11809/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1083809958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 WINTERGREEN RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294889512",
            "telephone_number": "843-782-5437",
            "fax_number": "843-782-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ROBERTSON BLVD",
            "address_2": "STE D",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882952",
            "telephone_number": "843-782-5437",
            "fax_number": "843-782-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE PLANTER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-509-5848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "25971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259712",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lee Reavis
• Horace Lee Reese III, PHARMD
• Gunther Rencken, MD
• Kimberly M Rencken, NP
• Harold Maurice Rhodes III, D.D.S.
• Melanie Richards, DMD
• Rachel Elaine Riley, PT, DPT
• Annette Rivers
• Robert L Thomas MD FCCP LLC
• Robertson Emergency Physicians

• Medical Specialty Clinic/Center in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.