James Island Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18074 Issued in SC

Legal business name

JAMES ISLAND FAMILY PRACTICE

Practice address

490 Martello Dr
Charleston, SC 29412-2638

Phone

(843) 762-4963

Fax

(843) 762-3039

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

William D Anderson III

Title

President

Phone

(843) 762-4963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1316051345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MARTELLO DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122638",
            "telephone_number": "843-762-4963",
            "fax_number": "843-762-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MARTELLO DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122638",
            "telephone_number": "843-762-4963",
            "fax_number": "843-762-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ISLAND FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-762-4963",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "18074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Island Dental Associates, PA
• James Island Dental, LLC
• James Island Dentistry for Children LLC
• James Island Family Chiropractic, LLC.
• James Island Family Orthodontics LLC
• James Island Pediatrics
• James Island Presbyterian Foundation (Lowcountry Pastoral Counseling Center)
• James Myers III LLC
• Amy Dawn James
• Andrew James

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.