Carolina Neurology & Neuroimaging LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CAROLINA NEUROLOGY & NEUROIMAGING LLC

Practice address

111 Shire Dr
Anderson, SC 29621-3675

Phone

(864) 716-2600

Fax

(864) 716-2666

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Kumar Patel, MDNPI 1497893614

Title

Owner

Phone

(864) 716-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Kumar Ravjibhai Patel, M.D.

  • Neurology Physician
  • Anderson, SC
  • NPI 1497893614
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1093323875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SHIRE DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213675",
            "telephone_number": "864-716-2600",
            "fax_number": "864-716-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHIRE DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213675",
            "telephone_number": "864-716-2600",
            "fax_number": "864-716-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEUROLOGY & NEUROIMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-716-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34121",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.CarolinaNeurologyNeuroimagingllc.com",
            "affiliation": "N",
            "address_1": "111 Shire Dr",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296213675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Elite Dental Services II LLC
• Carolina Emergency Medical Services
• Carolina Eye Care and Associates, PA
• Carolina Imaging Center LLC
• Carolina Medical Supply, LLC
• Carolina Primary Care and Diabetes Center LLC
• Carolina Pulmonary and Sleep
• Carolina Treatment Centers
• Carolina Urgent Dental Care
• Carolinas Center for Advanced Management of Pain PA

• Neurology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.