NPIMap

Organization Active NPI

North Augusta Pediatrics LLC

  • Rural Health Clinic/Center
  • North Augusta, SC
National Provider Identifier
1194496745
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTH AUGUSTA PEDIATRICS LLC
Practice address
140 Allen CT
North Augusta, SC 29860-9782
Phone
(803) 510-0007
Fax
(803) 510-0144
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Katherine Dangerfield
Title
Office Manager
Phone
(803) 510-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

140 Allen CT
North Augusta, SC 29860-9782

Mailing address

140 Allen CT
North Augusta, SC 29860-9782
Phone (803) 510-0007

National Provider Directory

National Provider Directory
Tax ID family
North Augusta Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1194496745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALLEN CT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609782",
            "telephone_number": "803-510-0007",
            "fax_number": "803-510-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALLEN CT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609782",
            "telephone_number": "803-510-0007",
            "fax_number": "803-510-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AUGUSTA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "DANGERFIELD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-510-0007"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.