Active NPI
Life Center Family Medicine LLC
- Family Medicine Physician
- Summerville, SC
National Provider Identifier
1356618920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIFE CENTER FAMILY MEDICINE LLC
- Doing business as
- Life Center Family Medicine
- Practice address
- 679 Orangeburg Rd
Suite F
Summerville, SC 29483-8914 - Phone
- (843) 261-2600
- Fax
- (888) 839-6837
- NPI assigned
- Nov 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana L Simpson, MD
- Title
- Medical Director, Ceo
- Phone
- (843) 261-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
679 Orangeburg Rd
Suite F
Summerville, SC 29483-8914
Mailing address
679 Orangeburg Rd
Suite F
Summerville, SC 29483-8914
Phone (843) 261-2600
Other names 1
- Life Center Family Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322179200000",
"number": "1356618920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 ORANGEBURG RD",
"address_2": "SUITE F",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838914",
"telephone_number": "843-261-2600",
"fax_number": "888-839-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 ORANGEBURG RD",
"address_2": "SUITE F",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838914",
"telephone_number": "843-261-2600",
"fax_number": "888-839-6837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CENTER FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-25",
"last_updated": "2011-11-25",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR, CEO",
"authorized_official_telephone_number": "843-261-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Center Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.