NPIMap

Organization Active NPI

Tri-County Pediatrics LLC

  • Pediatrics Physician
  • Rock Hill, SC
National Provider Identifier
1366403792
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22018 Issued in SC
Legal business name
TRI-COUNTY PEDIATRICS LLC
Practice address
165 Amendment Ave
Suite 102
Rock Hill, SC 29732-3036
Phone
(803) 329-2700
Fax
(803) 329-2788
NPI assigned
Mar 28, 2006
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Gaurang C Shah, M.D.NPI 1932169968
Title
Managing Physician
Phone
(803) 329-2700

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
Pediatrics Physician 208000000X 22018 SC Primary

Addresses

Primary practice location

165 Amendment Ave
Suite 102
Rock Hill, SC 29732-3036

Mailing address

165 Amendment Avenue
Suite 102
Rock Hill, SC 29732-2730
Phone (803) 329-2700

Other practice location 1

817 Liberty St E
York, SC 29745-1661
Phone (803) 627-2728

Other practice location 2

815 Liberty St E
York, SC 29745-1661
Phone (803) 628-2728

National Provider Directory

National Provider Directory

Locations

165 Amendment Ave
Ste 102
Rock Hill, SC 29732
Phone (803) 329-2700

815 Liberty St E
York, SC 29745
Phone (803) 329-2700

Practitioners & affiliated clinicians

Practitioners 7

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": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1366403792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 AMENDMENT AVENUE",
            "address_2": "SUITE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322730",
            "telephone_number": "803-329-2700",
            "fax_number": "803-329-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 AMENDMENT AVE",
            "address_2": "SUITE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323036",
            "telephone_number": "803-329-2700",
            "fax_number": "803-329-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Liberty St E",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "SC",
            "postal_code": "297451661",
            "country_code": "US",
            "telephone_number": "803-627-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Liberty St E",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "SC",
            "postal_code": "297451661",
            "country_code": "US",
            "telephone_number": "803-628-2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-COUNTY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "803-329-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "22018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.