NPIMap

Organization Active NPI

Marion Physician Services LLC

  • Rural Health Clinic/Center
  • Mullins, SC
National Provider Identifier
1104147479
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARION PHYSICIAN SERVICES LLC
Practice address
511 S Main St
Mullins, SC 29574-3509
Phone
(843) 464-8244
Fax
(843) 464-6519
NPI assigned
Jun 21, 2010
Organization subpart
Yes
Parent organization
MARION PHYSICIAN SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(877) 892-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

511 S Main St
Mullins, SC 29574-3509

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (866) 398-7108

Other names 1

  • Advanced Medical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Marion Physician Services

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1104147479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "866-398-7108",
            "fax_number": "615-465-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743509",
            "telephone_number": "843-464-8244",
            "fax_number": "843-464-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PHYSICIAN SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION PHYSICIAN SERVICES LLC",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.