Active NPI
St Francis Physician Services Inc
Doing business as Families First Family Medicine
- Family Medicine Physician
- Mauldin, SC
National Provider Identifier
1194006924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST FRANCIS PHYSICIAN SERVICES INC
- Doing business as
- Families First Family Medicine
- Practice address
- 11 Jenkins St
Mauldin, SC 29662-2412 - Phone
- (864) 288-1941
- Fax
- (864) 288-1946
- NPI assigned
- Sep 7, 2011
- Organization subpart
- Yes
- Parent organization
- ST FRANCIS PHYSICIAN SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilbur R Gay III
- Title
- Vice President of Finance-BSMG
- Phone
- (864) 605-3762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | SC | Primary |
Addresses
Primary practice location
11 Jenkins St
Mauldin, SC 29662-2412
Mailing address
PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 288-1941
Other names 1
- Families First Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050126000259 | SC | Part B Supplier - Clinic/Group Practice | 6608826821 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC… |
National Provider Directory
National Provider Directory- Part of
- The OBGYN Group of Greenville
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1396261822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467763200000",
"number": "1194006924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743294",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743294",
"telephone_number": "864-288-1941",
"fax_number": "864-288-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 JENKINS ST",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622412",
"telephone_number": "864-288-1941",
"fax_number": "864-288-1946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
"enumeration_date": "2011-09-07",
"last_updated": "2016-07-06",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "WILBUR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE-BSMG",
"authorized_official_telephone_number": "864-605-3762",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Families First Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mauldin, SC
- Spiritual Hands Home Care
- Spiritual Hands Transportation LLC
- Splendid Care LLC
- Splendid Care LLC
- Sports Transportation and Scheduling
- St Francis Physician Services Inc (Bon Secours Primary Care Mauldin)
- Stalmack Chiropractic (Alignlife Of Mauldin)
- Emily Staples
- Celina Starr-Hamlin
- Jerry Stewart Stoddard Jr., RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.