Organization Active NPI

Morphis Pediatric Group of Lancaster, P.a.

  • Rural Health Clinic/Center
  • Lancaster, SC
National Provider Identifier
1235209883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MORPHIS PEDIATRIC GROUP OF LANCASTER, P.A.
Practice address
838 W Meeting St Ste a
Lancaster, SC 29720-6233
Phone
(803) 416-5295
Fax
(803) 416-5240
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nancy L Brackett
Title
Office Manager
Phone
(803) 416-5295

Specialties & licenses 1

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

Addresses

Primary practice location

838 W Meeting St Ste a
Lancaster, SC 29720-6233

Mailing address

838 W Meeting St Ste a
Lancaster, SC 29720-6233
Phone (803) 416-5295

Other identifiers 1

IdentifierTypeStateIssuer
GP2176MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Mante 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.

Locations

112 N Woodland Dr
Ste C
Lancaster, SC 29720

112C Woodland Dr
Lancaster, SC 29720
Phone (803) 804-4701

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235209883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 W MEETING ST STE A",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206233",
            "telephone_number": "803-416-5295",
            "fax_number": "803-416-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 W MEETING ST STE A",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206233",
            "telephone_number": "803-416-5295",
            "fax_number": "803-416-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORPHIS PEDIATRIC GROUP OF LANCASTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-416-5295",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2176",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.