Lake City Family Medicine LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

RHC175 Issued in SC

Legal business name

LAKE CITY FAMILY MEDICINE LLC

Practice address

901 N Matthews Rd
Lake City, SC 29560-7024

Phone

(843) 374-8380

Fax

(843) 374-5247

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Morris Edward Brown III, M.D.NPI 1801992599

Title

Medical Director

Phone

(843) 374-8380

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lake City Family Medicine3 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.

• Lake City Family Medicine

  • Primary Care Clinic/Center
  • Kingstree, SC
  • NPI 1487164679
  NPD tax ID
• Lake City Family Medicine, LLC

  • Rural Health Clinic/Center
  • Kingstree, SC
  • NPI 1831445998
  NPD tax ID

Practitioners 1

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

• Morris E Brown III, M.D.

  • Family Medicine Physician
  • Lake City, SC
  • NPI 1801992599
  NPD (past) Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1144467960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380",
            "fax_number": "843-374-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380",
            "fax_number": "843-374-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-374-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "RHC175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC175",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake City Community Day Services, Inc.
• Lake City Community Day Services, Inc.
• Lake City Diagnostic Imaging, Inc.
• Lake City Family Dentistry
• Lake City Family Dentistry
• Lake City Family Medicine LLC
• Lake City Medical Associates 2017, LLC
• Lake City Orthopaedic Clinic
• Lakeside Medical Response
• Benjamin Wade Lamb, M.D.

• Rural Health Clinic/Center in Lake City, SC
• Providers in Lake City, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.