NPIMap

Organization Active NPI

Harleyville Family Medicine

  • Clinic/Center
  • Harleyville, SC
National Provider Identifier
1366625808
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HARLEYVILLE FAMILY MEDICINE
Practice address
146 Judge St
Harleyville, SC 29448
Phone
(843) 462-7355
NPI assigned
Dec 6, 2007
Organization subpart
Yes
Parent organization
FAMILY DIAGNOSTIC ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
James H Way, PHDNPI 1073529848
Title
Practice Administrator
Phone
(803) 496-7174

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

146 Judge St
Harleyville, SC 29448

Mailing address

PO Box 488
Holly Hill, SC 29059
Phone (803) 496-7174

Other identifiers 1

IdentifierTypeStateIssuer
RHC142MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Harleyville Family Medicine2 organizations share this tax ID, including this one
Part of
Harleyville Family Medicine

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1366625808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "29059",
            "telephone_number": "803-496-7174",
            "fax_number": "803-496-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 JUDGE ST",
            "city": "HARLEYVILLE",
            "state": "SC",
            "postal_code": "29448",
            "telephone_number": "843-462-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEYVILLE FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY DIAGNOSTIC ASSOCIATES PA",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-496-7174",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC142",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleyville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.