Prestwood Radiology, LLP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PRESTWOOD RADIOLOGY, LLP

Practice address

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710

Phone

(843) 339-2100

NPI assigned

Mar 18, 2019

Last updated

Mar 18, 2019By 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

Polly Price

Title

Billing

Phone

(843) 669-5162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 3

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.

• Gregory Stephen Connor, MD

  • Diagnostic Ultrasound Physician
  • Hartsville, SC
  • NPI 1265422992
  Medicare reassignment NPD
• Donald J Copley, MD

  • Diagnostic Radiology Physician
  • Camden, SC
  • NPI 1265593347
  Medicare reassignment NPD
• Louis Roemhildt, M.D.

  • Diagnostic Radiology Physician
  • Hartsville, SC
  • NPI 1386611556
  Medicare reassignment NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1093274235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100523",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020523",
            "telephone_number": "843-669-5162",
            "fax_number": "843-667-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W BOBO NEWSOM HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504710",
            "telephone_number": "843-339-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTWOOD RADIOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "843-669-5162"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pouring 4 Purpose, LLC
• Pouring 4 Purpose, LLC
• Pouring 4 Purpose, LLC
• Joseph Williamson Powell Jr., M.D.
• Premise Health of South Carolina Medical PC (Sonoco Health Connection)
• Daronda Price
• Sharla Bush Price, D.M.D.
• Primary Care of Hartsville
• Pro Form Therapy, LLC
• Professional Way Healthcare Staffing, LLC

• Diagnostic Radiology Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.