NPIMap

Organization Active NPI

Caresouth Carolina, Inc.

  • Nursing Care Agency
  • Cheraw, SC
National Provider Identifier
1306378773
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
20722 Issued in SC
Legal business name
CARESOUTH CAROLINA, INC.
Practice address
715 S Doctors Dr
Suite E
Cheraw, SC 29520-7113
Phone
(843) 537-0961
NPI assigned
Apr 3, 2017
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Mrs. Tracy Johnson Teal, FNP-CNPI 1851511992
Title
Family Nurse Practitioner
Phone
(843) 921-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 20722 SC Primary

Addresses

Primary practice location

715 S Doctors Dr
Suite E
Cheraw, SC 29520-7113

Mailing address

715 S Doctors Dr
Cheraw, SC 29520-7113
Phone (843) 921-2620

National Provider Directory

National Provider Directory
Tax ID family
Caresouth Carolina Soci26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

715 S Doctors Dr
Cheraw, SC 29520

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1306378773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S DOCTORS DR",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207113",
            "telephone_number": "843-921-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S DOCTORS DR",
            "address_2": "SUITE E",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207113",
            "telephone_number": "843-537-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "843-921-2620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "20722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.