Piedmont Express Care at Sutton Road, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT EXPRESS CARE AT SUTTON ROAD, LLC

Practice address

515 Rivercrossing Dr
Suite 180
Fort Mill, SC 29715-7900

Phone

(803) 578-2800

Fax

(803) 578-2810

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Courtney Marie Casey, PA-C

  • Physician Assistant
  • Fort Mill, SC
  • NPI 1508285685
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1114353935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742718",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742107",
            "telephone_number": "803-578-2800",
            "fax_number": "803-578-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RIVERCROSSING DR",
            "address_2": "SUITE 180",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157900",
            "telephone_number": "803-578-2800",
            "fax_number": "803-578-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT EXPRESS CARE AT SUTTON ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterkin & Associates, LLC.
• Nhung Thi Phan, D.M.D.
• Trudy Phelps, PH.D
• Phoenix Wellness LLC
• Piedmont Express Care at Sutton Road, LLC (Sutton Road Pediatrics)
• Piedmont Family Practice at Baxter Village, LLC
• Piedmont Family Practice at Tega Cay, LLC (Piedmont Family Practice at Tega Cay)
• Piedmont Gynecological and Obstetrical Associates
• Piedmont Internal Medicine at Baxter Village LLC
• Piedmont Urgent Care Center at Baxter Village LLC

• Family Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.