NPIMap

Organization Active NPI

Partners in Care Network

  • Health Service Clinic/Center
  • Washington, DC
National Provider Identifier
1275297004
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PARTNERS IN CARE NETWORK
Doing business as
PICN
Practice address
2112 F St NW Ste 504
Washington, DC 20037-2761
Phone
(202) 684-2784
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Sidney Nelson III, MDNPI 1033152541
Title
Medical Director
Phone
(843) 412-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2112 F St NW Ste 504
Washington, DC 20037-2761

Mailing address

4975 Lacross Rd Ste 151
N Charleston, SC 29406-6566
Phone (843) 412-5548

Other names 1

  • PICN Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SidneyNelson.MedicalHomeDevelopmentGroup@147716.advancedmd-direct.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4975 Lacross Rd
Ste 151
North Charleston, SC 29406

Interoperability endpoints

  • Direct secure messaging: sidneynelson.medicalhomedevelopmentgroup@147716.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1275297004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 151",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294066566",
            "telephone_number": "843-412-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-684-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-412-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SidneyNelson.MedicalHomeDevelopmentGroup@147716.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2112 F St",
            "address_2": "Suitge 504",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "20037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PICN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.