Rapha Wells Primary Health Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RAPHA WELLS PRIMARY HEALTH CARE

Doing business as

RAPHA WELLS PRIMARY HEALTHCARE

Practice address

1013 Kincaid Bridge Rd
Winnsboro, SC 29180-7113

Phone

(803) 402-0558

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Tabitha J. Williams

Title

Owner

Phone

(803) 712-1103

Specialties & licenses 1

Addresses

Other names 1

• RAPHA WELLS PRIMARY HEALTHCARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Jones, CFNP

  • Family Nurse Practitioner
  • Madison Heights, VA
  • NPI 1558792689
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1245718444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SPINNAKER DR",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807210",
            "telephone_number": "803-402-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 KINCAID BRIDGE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807113",
            "telephone_number": "803-402-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA WELLS PRIMARY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-712-1103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPHA WELLS PRIMARY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Price'S Prescription Shop
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• Prosperous Sistas LLC
• Alana Rabb
• Regal Homecare and Concierge
• Karen Revels
• Wendy Reynolds
• Renada Richardson, M.A., CACP-I
• Kannetria Halona Robinson-Davis, FNP

• Clinic/Center in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.