Organization Active NPI

Beaufort Family Care LLC

  • Family Medicine Physician
  • Beaufort, SC
National Provider Identifier
1154333607
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18951 Issued in SC
Legal business name
BEAUFORT FAMILY CARE LLC
Practice address
10A Marshellen Dr
Beaufort, SC 29902-6900
Phone
(843) 525-9015
Fax
(843) 525-9020
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Daniel C Ripley, MD
Title
Owner
Phone
(843) 525-9015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 18951 SC Primary

Addresses

Primary practice location

10A Marshellen Dr
Beaufort, SC 29902-6900

Mailing address

10A Marshellen Dr
Beaufort, SC 29902-6900
Phone (843) 525-9015

Other identifiers 1

IdentifierTypeStateIssuer
GP4165MedicaidSC

National Provider Directory

National Provider Directory

Locations

10A Marshellen Dr
Beaufort, SC 29902
Phone (843) 379-9025

1948 Long Grove Dr
Ste 2
Mt Pleasant, SC 29464
Phone (843) 324-6726

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1154333607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10A MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-525-9015",
            "fax_number": "843-525-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10A MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-525-9015",
            "fax_number": "843-525-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RIPLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-525-9015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "18951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4165",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.