Andrew O Stoudenmire III

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8326 Issued in SC

Practice address

6715 State Park Rd
Travelers Rest, SC 29690-1831

Phone

(864) 419-2788

NPI assigned

Mar 3, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1194670141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KEELER MILL RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 STATE PARK RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901831",
            "telephone_number": "864-419-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDENMIRE",
        "first_name": "ANDREW",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "8326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Francis Physician Services Inc
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• Tullious Calhoun Stoudemayer Jr., M.D.
• Bryce Andrew Stout, PA-C
• Katrina Olsen Stratton, PHARM. D.
• Jessica T Stubbs, PT
• Laura Latham Styles, RPH
• Katherine Swann, RD

• Marriage & Family Therapist in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.