Allheart Health Systems, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALLHEART HEALTH SYSTEMS, LLC

Practice address

188 S Pike E
Sumter, SC 29150-2131

Phone

(914) 359-7442

NPI assigned

Nov 12, 2021

Organization subpart

Yes

Parent organization

ALLHEART HEALTH SYSTEMS, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Kimberly Dianne Billie Jackson, NPNPI 1588293278

Title

Owner

Phone

(803) 580-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALLHEART Lab & Diagnostics Doing business as

Electronic endpoints 2

Part of

Allheart Health Systems LLC

Locations

Practitioners 1

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

• Kimberly Dianne Billie Jackson, AGNP-C

  • Community Health Clinic/Center
  • Sumter, SC
  • NPI 1588293278

  Clinical Medical Laboratory

  NPD Authorized official

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1275299331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291510141",
            "telephone_number": "803-580-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 S PIKE E",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502131",
            "telephone_number": "914-359-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7356 Garners Ferry Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092146",
            "country_code": "US",
            "telephone_number": "914-359-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLHEART HEALTH SYSTEMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLHEART HEALTH SYSTEMS, LLC",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANNE BILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-580-4747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "23707",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Allheartgeneric@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Csv",
            "address_1": "7356 Garners Ferry Rd Ste 218",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292092146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Allheartgeneric@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Csv",
            "address_1": "7356 Garners Ferry Rd Ste 218",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292092146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ALLHEART Lab & Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sumter, SC
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.