NPIMap

Organization Active NPI

Florence Neurological Clinic, PA

  • Neurology Physician
  • Florence, SC
National Provider Identifier
1285708966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13828 Issued in SC
Legal business name
FLORENCE NEUROLOGICAL CLINIC, PA
Practice address
1929 Mountain Laurel CT
Suite B
Florence, SC 29505-6053
Phone
(843) 665-4104
Fax
(843) 661-0160
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ashely D. Kent, MD
Title
President
Phone
(843) 665-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 13828 SC Primary

Addresses

Primary practice location

1929 Mountain Laurel CT
Suite B
Florence, SC 29505-6053

Mailing address

1929 Mountain Laurel CT
Suite B
Florence, SC 29505-6053
Phone (843) 665-4104

National Provider Directory

National Provider Directory

Locations

1929 Mountain Laurel Ct
#B
Florence, SC 29505
Phone (843) 665-4104

Practitioners & affiliated clinicians

Practitioners 3

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285708966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 MOUNTAIN LAUREL CT",
            "address_2": "SUITE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056053",
            "telephone_number": "843-665-4104",
            "fax_number": "843-661-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 MOUNTAIN LAUREL CT",
            "address_2": "SUITE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056053",
            "telephone_number": "843-665-4104",
            "fax_number": "843-661-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE NEUROLOGICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "ASHELY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-665-4104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "13828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.