Active NPI
Family Physicians North
- Family Medicine Physician
- North Augusta, SC
National Provider Identifier
1093814055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- SC8076
- Legal business name
- FAMILY PHYSICIANS NORTH
- Practice address
- 309 West Ave
North Augusta, SC 29841-3800 - Phone
- (803) 279-1412
- Fax
- (803) 279-2858
- NPI assigned
- Sep 22, 2006
- Last updated
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John William Thurmond III, MD
- Title
- President
- Phone
- (803) 279-1412
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | SC8076 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 12890 | SC |
Addresses
Primary practice location
309 West Ave
North Augusta, SC 29841-3800
Mailing address
309 West Ave
North Augusta, SC 29841-3800
Phone (803) 279-1412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2559 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
309 West Ave
North Augusta, SC 29841
Phone (803) 279-1412
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- North Augusta, SC
- NPI 1962438804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1093814055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WEST AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413800",
"telephone_number": "803-279-1412",
"fax_number": "803-279-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 WEST AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413800",
"telephone_number": "803-279-1412",
"fax_number": "803-279-2858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHYSICIANS NORTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "THURMOND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-279-1412",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "SC8076",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "12890",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2559",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.