NPIMap

Organization Active NPI

Georgetown Internal Medicine, LLC

Doing business as Waccamaw Community Care, Georgetown

  • Family Medicine Physician
  • Georgetown, SC
National Provider Identifier
1366776544
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEORGETOWN INTERNAL MEDICINE, LLC
Doing business as
Waccamaw Community Care, Georgetown
Practice address
1016 Huger Dr
Georgetown, SC 29440-3322
Phone
(843) 546-6158
Fax
(843) 546-0660
NPI assigned
Sep 22, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Marcia Batchelor
Title
Manager
Phone
(843) 520-8441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1016 Huger Dr
Georgetown, SC 29440-3322

Mailing address

1016 Huger Dr
Georgetown, SC 29440-3322
Phone (843) 546-6158

Other names 1

  • Waccamaw Community Care, Georgetown Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1366776544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 HUGER DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403322",
            "telephone_number": "843-546-6158",
            "fax_number": "843-546-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 HUGER DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403322",
            "telephone_number": "843-546-6158",
            "fax_number": "843-546-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-520-8441"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waccamaw Community Care, Georgetown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.