Organization Active NPI

Florence Family Medicine LLC

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1356852115
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORENCE FAMILY MEDICINE LLC
Practice address
315 N Beltline Dr Ste E
Florence, SC 29501-7420
Phone
(843) 407-8192
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Ryan Williams, DONPI 1306072293
Title
Owner/Physician
Phone
(843) 407-8192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

315 N Beltline Dr Ste E
Florence, SC 29501-7420

Mailing address

315 N Beltline Dr Ste E
Florence, SC 29501-7420
Phone (843) 407-8192

Other practice location 1

3102 Kings Gate Ct
Florence, SC 29501-7587
Phone (515) 508-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180119000228 SC Part B Supplier - Clinic/Group Practice 9830458876 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2141063Florence Family Medicine, LLC315 N Beltline Dr, Suite E, Florence, SC 29501Provider-performed microscopyDec 5, 2027

National Provider Directory

National Provider Directory

Locations

315 N Beltline Dr
Ste E
Florence, SC 29501
Phone (843) 407-8192

315 N Beltline Dr
Florence, SC 29501

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGCBD

Practitioners & affiliated clinicians

Practitioners 2

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356852115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N BELTLINE DR STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017420",
            "telephone_number": "843-407-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N BELTLINE DR STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017420",
            "telephone_number": "843-407-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 Kings Gate Ct",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295017587",
            "country_code": "US",
            "telephone_number": "515-508-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORENCE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "843-407-8192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.