Organization Active NPI

Healthy Concepts

  • Internal Medicine Physician
  • Easley, SC
National Provider Identifier
1265839534
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28114 Issued in SC
Legal business name
HEALTHY CONCEPTS
Practice address
300 Fleetwood Dr
Easley, SC 29640-1912
Phone
(864) 907-9112
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Marian B Clinch, MD
Title
President
Phone
(864) 907-9112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 28114 SC Primary

Addresses

Primary practice location

300 Fleetwood Dr
Easley, SC 29640-1912

Mailing address

300 Fleetwood Dr
Easley, SC 29640-1912
Phone (864) 907-9112

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2090460Healthy Concepts300 Fleetwood Drive, Easley, SC 29640Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

300 Fleetwood Dr
Easley, SC 29640
Phone (864) 644-8977

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1265839534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401912",
            "telephone_number": "864-907-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401912",
            "telephone_number": "864-907-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "CLINCH",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-907-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "28114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.