Southern Emergency Physicians LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SOUTHERN EMERGENCY PHYSICIANS LLP

Practice address

1138 Cheraw Highway
Bennettsville, SC 29512-2466

Phone

(843) 479-2881

Fax

(843) 479-5860

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Derik K King, MDNPI 1376560912

Title

LLP Managing Partner

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derik K King, M.D., FACEP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1376560912
  Authorized official Same address or phone

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1164654638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602162",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602162",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 CHERAW HIGHWAY",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122466",
            "telephone_number": "843-479-2881",
            "fax_number": "843-479-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EMERGENCY PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LLP MANAGING PARTNER",
        "authorized_official_telephone_number": "866-916-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5235",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina CVS Pharmacy LLC (CVS Pharmacy #05518)
• South Carolina Department of Juvenile Justice
• South Carolina Department of Juvenile Justice
• South Carolina Dept of Mental Health Accounting Office (Highway to Hope Tri-County Primary Care)
• Southern Creative Care
• Andria Marshale Sowells, MA, NCC, LPC
• Speech Connection of Florence, LLC
• Amanda Speight
• Felecia Renee Stanton, LPC-A
• State of South Carolina (SC Dhec)

• Emergency Medicine Physician in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.