Burnt Church Primary and Urgent Care, LLC

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

BURNT CHURCH PRIMARY AND URGENT CARE, LLC

Practice address

1 Burnt Church Rd
Bluffton, SC 29910-6405

Phone

(843) 757-9229

NPI assigned

Sep 11, 2006

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other names 1

• South Carolina Health Services Former legal business name

Practitioners 3

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.

• Sarah M George, MSN, APRN,BC

  • Primary Care Nurse Practitioner
  • Bluffton, SC
  • NPI 1538100847
  NPD (past)
• Lynn Marie Goetze, MD

  • Family Medicine Physician
  • Bluffton, SC
  • NPI 1093746042
  NPD (past)
• Ernest David Autry, MD

  • Obstetrics & Gynecology Physician
  • Alexandria, LA
  • NPI 1932147725
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1194829218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "address_2": "ATTN ADMINISTRATION- KIM HOLSTEIN",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262738",
            "telephone_number": "843-757-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURNT CHURCH RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106405",
            "telephone_number": "843-757-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNT CHURCH PRIMARY AND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Carolina Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karen Bulson, LISW
• Bunge Chiropractic Health Clinic
• Eric Bunge Sr., D.C.
• Jennifer Ellen Burks, CNM
• Jimena C Burnett, MD
• Burnt Church Primary and Urgent Care, LLC
• Catherine Bushnell, DNP, APRN, FNP-BC
• Risa Amy Byars, PSY.D.
• C Marie Aesthetics
• Heather L Cain, FNP-C

• Adolescent Medicine (Family Medicine) Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Adolescent Medicine (Family Medicine) Physician in South Carolina

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