Active NPI
St Francis Physician Services Inc
- Internal Medicine Physician
- Greenville, SC
National Provider Identifier
1124357876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ST FRANCIS PHYSICIAN SERVICES INC
- Practice address
- 1208 Augusta St
Greenville, SC 29605-4024 - Phone
- (864) 271-3930
- Fax
- (864) 232-2384
- NPI assigned
- Dec 9, 2009
- Organization subpart
- Yes
- Parent organization
- ST FRANCIS PHYSICIAN SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilbur R Gay III
- Title
- Cfo
- Phone
- (864) 605-3762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1208 Augusta St
Greenville, SC 29605-4024
Mailing address
PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 271-3930
Other names 1
- Carolina Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0252221 | Carolina Internal Medicine PA | Accreditation | Jan 29, 2027 |
National Provider Directory
National Provider Directory- Part of
- The OBGYN Group of Greenville
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Travelers Rest, SC
- NPI 1548584204
-
- Family Nurse Practitioner
- Simpsonville, SC
- NPI 1881760841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1124357876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743294",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743294",
"telephone_number": "864-271-3930",
"fax_number": "864-232-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 AUGUSTA ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054024",
"telephone_number": "864-271-3930",
"fax_number": "864-232-2384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
"enumeration_date": "2009-12-09",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "WILBUR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "864-605-3762",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carolina Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, SC
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
- St Francis Physician Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.