NPIMap

Organization Active NPI

Beaufort County Memorial Hospital

  • Internal Medicine Physician
  • Port Royal, SC
National Provider Identifier
1255007332
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Practice address
Beaufort Memorial Direct Primary Care
1680 Ribaut Road
Port Royal, SC 29935-2008
Phone
(843) 524-3344
Fax
(833) 305-2376
NPI assigned
Aug 19, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Trimmell S Simmons
Title
Medical Staff Coordinator
Phone
(843) 522-5790

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Sea Island Cancer Center (16 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

Beaufort Memorial Direct Primary Care
1680 Ribaut Road
Port Royal, SC 29935-2008

Mailing address

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5790

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2021.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1255007332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL DIRECT PRIMARY CARE",
            "address_2": "1680 RIBAUT ROAD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352008",
            "telephone_number": "843-524-3344",
            "fax_number": "833-305-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TRIMMELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "843-522-5790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.