PMC Physician Network, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PMC PHYSICIAN NETWORK, LLC

Practice address

3248 Edgeland Hwy
Richburg, SC 29729-9478

Phone

(803) 789-6111

Fax

(803) 789-6118

NPI assigned

Mar 20, 2015

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

• Lewisville Medical Center Doing business as

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1235523945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743361",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743361",
            "telephone_number": "803-789-6111",
            "fax_number": "803-789-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 EDGELAND HWY",
            "city": "RICHBURG",
            "state": "SC",
            "postal_code": "297299478",
            "telephone_number": "803-789-6111",
            "fax_number": "803-789-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Meadows Newton, MSN, APRN, FNP-BC
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• Swapna Paladugu, MD
• Meaghan Pedlow, NP
• Richburg Discount Pharmacy LLC
• Richburg Fire Protection District
• Kira Robinson, FNP
• Victoria Logan Stewart
• Together Pharmacy LLC

• All providers in Richburg, SC
• Internal 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.