Organization Active NPI

Alliance Internal Medicine, LLC

  • Exclusive Provider Organization
  • Greer, SC
National Provider Identifier
1285096388
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
19254 Issued in SC
Legal business name
ALLIANCE INTERNAL MEDICINE, LLC
Practice address
70 Parkway Commons Way
Greer, SC 29650-5213
Phone
(864) 254-9330
Fax
(864) 254-9370
NPI assigned
Mar 28, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Raja Paladugu, MD
Title
President
Phone
(864) 254-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 19254 SC Primary

Addresses

Primary practice location

70 Parkway Commons Way
Greer, SC 29650-5213

Mailing address

70 Parkway Commons Way
Greer, SC 29650-5213
Phone (864) 254-9330

Other identifiers 1

IdentifierTypeStateIssuer
207R00000XOtherSCTAXONOMY CODE

National Provider Directory

National Provider Directory

Locations

70 Parkway Commons Way
Greer, SC 29650
Phone (864) 469-9850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1285096388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-254-9330",
            "fax_number": "864-254-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-254-9330",
            "fax_number": "864-254-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "PALADUGU",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-254-9330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "SC",
            "license": "19254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207R00000X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.