NPIMap

Organization Active NPI

Bluffton Okatie Primary Care, LLC

  • Family Medicine Physician
  • Okatie, SC
National Provider Identifier
1326285115
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUFFTON OKATIE PRIMARY CARE, LLC
Practice address
40 Okatie Center Blvd South
Suite 100a
Okatie, SC 29909-7507
Phone
(843) 705-8888
Fax
(843) 705-7024
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

40 Okatie Center Blvd South
Suite 100a
Okatie, SC 29909-7507

Mailing address

PO Box 405479
Atlanta, GA 30384-5479
Phone (843) 705-8888

National Provider Directory

National Provider Directory

Locations

40 Okatie Center Blvd S
Ste 100A
Okatie, SC 29909
Phone (843) 705-8888

1716 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7890

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1326285115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405479",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845479",
            "telephone_number": "843-705-8888",
            "fax_number": "843-705-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD SOUTH",
            "address_2": "SUITE 100A",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097507",
            "telephone_number": "843-705-8888",
            "fax_number": "843-705-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFTON OKATIE PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.