NPIMap

Organization Active NPI

Georgetown Health Group

Doing business as Andrews Medical Center

  • Family Medicine Physician
  • Andrews, SC
National Provider Identifier
1144401365
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEORGETOWN HEALTH GROUP
Doing business as
Andrews Medical Center
Practice address
701 S Morgan Ave
Andrews, SC 29510-2959
Phone
(843) 264-5253
NPI assigned
Nov 15, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Sue R. Stark
Title
Co-Administrator
Phone
(843) 527-4442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

701 S Morgan Ave
Andrews, SC 29510-2959

Mailing address

1075 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-4442

Other identifiers 1

IdentifierTypeStateIssuer
GP1366MedicaidSC

Other names 1

  • Andrews Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgetown Health Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1144401365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402848",
            "telephone_number": "843-527-4442",
            "fax_number": "843-527-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MORGAN AVE",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102959",
            "telephone_number": "843-264-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "843-527-4442"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1366",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrews Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andrews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.