Active NPI
Silversage Physician Services of South Carolina, PC
- Geriatric Medicine (Family Medicine) Physician
- North Charleston, SC
National Provider Identifier
1225586712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- SILVERSAGE PHYSICIAN SERVICES OF SOUTH CAROLINA, PC
- Practice address
- 2600 Elms Plantation Blvd
North Charleston, SC 29406-9164 - Phone
- (843) 764-3500
- NPI assigned
- Sep 14, 2016
- Last updated
- Jan 23, 2017
- 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
- Kenneth L. Scott, D.O.
- Title
- President
- Phone
- (423) 815-1605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
2600 Elms Plantation Blvd
North Charleston, SC 29406-9164
Mailing address
PO Box 23913
Chattanooga, TN 37422-3913
Phone (423) 815-1600
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485129600000",
"number": "1225586712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23913",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374223913",
"telephone_number": "423-815-1600",
"fax_number": "423-763-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ELMS PLANTATION BLVD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069164",
"telephone_number": "843-764-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVERSAGE PHYSICIAN SERVICES OF SOUTH CAROLINA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2017-01-23",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-815-1605",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.