Pee Dee Healthcare PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEE DEE HEALTHCARE PA

Practice address

214 S 2ND Street
Hartsville, SC 29550

Phone

(843) 383-4994

Fax

(843) 332-5473

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tony R Megna, DJ

Title

Ceo

Phone

(803) 799-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pee Dee Health Care Hartsville Doing business as

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1245337955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WEST AVENUE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-799-1700",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 2ND STREET",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-383-4994",
            "fax_number": "843-332-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "MEGNA",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-799-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DJ"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC143",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pee Dee Health Care Hartsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Path to Light Counseling LLC
• Patriot Living of Hartsville, LLC
• Taylor Pederson
• Pee Dee Emergency Physicians
• Pee Dee Eye Associates PA
• Pee Dee Mental Health
• Pee Dee Mental Health
• Pee Dee Pain Care, LLC
• Leslie J Pell, PHARMD
• Joni Cranford Pendergrass

• Family Medicine Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.