NPIMap

Organization Active NPI

Sports Plus

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, NC
National Provider Identifier
1376775932
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPORTS PLUS
Practice address
1715 Country Club Rd Ste E
Jacksonville, NC 28546-6042
Phone
(910) 219-4566
Fax
(910) 219-4567
NPI assigned
Aug 17, 2009
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHAB INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Jennfier Wilmot
Title
A/R Supervisor
Phone
(864) 482-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1715 Country Club Rd Ste E
Jacksonville, NC 28546-6042

Mailing address

PO Box 1844
Clemson, SC 29633-1844
Phone (864) 482-0064

National Provider Directory

National Provider Directory
Tax ID family
Clemson Sports Medicine35 organizations share this tax ID, including this one
Part of
Clemson Sports Medicine

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1376775932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331844",
            "telephone_number": "864-482-0064",
            "fax_number": "864-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 COUNTRY CLUB RD STE E",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466042",
            "telephone_number": "910-219-4566",
            "fax_number": "910-219-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PLUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHAB INC",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "JENNFIER",
        "authorized_official_title_or_position": "A/R SUPERVISOR",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.