Organization Active NPI

Johnson-Thomas Medical Training Center, LLC

  • Administrator Registered Nurse
  • Florence, SC
National Provider Identifier
1134879133
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
Legal business name
JOHNSON-THOMAS MEDICAL TRAINING CENTER, LLC
Practice address
2215 W Palmetto St Ste F
Florence, SC 29501-3971
Phone
(843) 407-4046
Fax
(843) 407-4046
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Mrs. Alicia J. Thomas, MSNNPI 1043973977
Title
Owner
Phone
(843) 319-8642

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA2000X Primary

Addresses

Primary practice location

2215 W Palmetto St Ste F
Florence, SC 29501-3971

Mailing address

2215 W Palmetto St Ste F
Florence, SC 29501-3971
Phone (843) 319-8642

Other names 1

  • Johnson-Thomas Medical Training Center, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1134879133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W PALMETTO ST STE F",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013971",
            "telephone_number": "843-319-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W PALMETTO ST STE F",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013971",
            "telephone_number": "843-407-4046",
            "fax_number": "843-407-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON-THOMAS MEDICAL TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-319-8642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson-Thomas Medical Training Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.