Active NPI
Oconee Family Practice
- Family Medicine Physician
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7874
- Legal business name
- OCONEE FAMILY PRACTICE
- Practice address
- 12016 N Radio Station Rd
Seneca, SC 29678-1143 - Phone
- (864) 882-7225
- Fax
- (864) 885-9192
- NPI assigned
- Nov 2, 2005
- Last updated
- Oct 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James R Hanahan Jr., MD
- Title
- President
- Phone
- (864) 882-7225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3461 | SC | |
| Family Medicine Physician | 207Q00000X | 7874 | SC | Primary |
Addresses
Primary practice location
12016 N Radio Station Rd
Seneca, SC 29678-1143
Mailing address
12016 N Radio Station Rd
Seneca, SC 29678-1143
Phone (864) 882-7225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034616 | Medicaid | SC | |
| 078748 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
301 Memorial Dr
Seneca, SC 29672
Phone (864) 614-5617
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Seneca, SC
- NPI 1558308171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224806400000",
"number": "1184615791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12016 N RADIO STATION RD",
"city": "SENECA",
"state": "SC",
"postal_code": "296781143",
"telephone_number": "864-882-7225",
"fax_number": "864-885-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12016 N RADIO STATION RD",
"city": "SENECA",
"state": "SC",
"postal_code": "296781143",
"telephone_number": "864-882-7225",
"fax_number": "864-885-9192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCONEE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2008-10-24",
"status": "A",
"authorized_official_last_name": "HANAHAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-882-7225",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "3461",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "7874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034616",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078748",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
- Brandi Nicole O'Kelley
- Oaktree Medical Centre, PC (Pain Management Associates-Seneca)
- Oconee Apothecaries Inc (Sammeth Drug)
- Oconee Audiology Inc
- Oconee County Disabilities & Special Needs Board
- Oconee G.I. Clinic
- Oconee Home Health
- Oconee Internal Medicine Associates, PA
- Oconee Kidney Center, LLC
- Oconee Medical Center (Oconee Hospice of the Foothills)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.