Powdersville Health Internal Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD38594 Issued in SC

Legal business name

POWDERSVILLE HEALTH INTERNAL MEDICINE

Practice address

3150 Highway 153
Piedmont, SC 29673-9498

Phone

(864) 568-5018

Fax

(864) 295-0095

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy McNeely Lollis

Title

Office Manager

Phone

(864) 568-5018

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1184083982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-568-5018",
            "fax_number": "864-295-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-568-5018",
            "fax_number": "864-295-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDERSVILLE HEALTH INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "LOLLIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MCNEELY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-568-5018",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "MD38594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385942",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piedmont Skilled Nursing, LLC (Piedmont Post Acute)
• Positive Starts LLC
• Brian Possee, PHARMD
• Powdersville Dental Associates
• Powdersville Family Pharmacy LLC
• Powdersville Internal Medicine
• Powdersville Spine & Decompression LLC
• Angela Powell, MSN, RN
• Kristie Dianna Powell, LMT
• Priority Care, LLC.

• Primary Care Clinic/Center in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.