Sumter Nephrology LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SUMTER NEPHROLOGY LLC

Practice address

3 Medical CT
Sumter, SC 29150-4760

Phone

(803) 938-5663

Fax

(803) 938-5088

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey W Smith II, DONPI 1376636969

Title

Owner

Phone

(803) 938-5663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Jeffrey W. Smith II, D.O.

  • Nephrology Physician
  • Sumter, SC
  • NPI 1376636969
  Medicare reassignment NPD Authorized official
• Angela Beth Whittle-Merchant, FNP

  • Family Nurse Practitioner
  • Sumter, SC
  • NPI 1962549899
  Medicare reassignment NPD
• Manuel F Gonzalez, M.D

  • Specialist
  • Sumter, SC
  • NPI 1073596813
  NPD

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1306280698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "305",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-938-5663",
            "fax_number": "803-339-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504760",
            "telephone_number": "803-938-5663",
            "fax_number": "803-938-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-938-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6300",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumter Interventional Pain Associates
• Sumter Medical Consultants
• Sumter Medical Specialists PA
• Sumter Medical Supplies Inc
• Sumter N&R, LLC
• Sumter OBGYN PA
• Sumter Opco, LLC
• Sumter Operations LLC
• Sumter Optical, LLC
• Sumter Oral & Maxillofacial Surgery PA

• Nephrology Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.