Southcoast Family Practice, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

19063 Issued in SC

Legal business name

SOUTHCOAST FAMILY PRACTICE, LLC

Practice address

29 Plantation Park Dr
Suite 203
Bluffton, SC 29910-9001

Phone

(843) 706-5995

Fax

(843) 706-5996

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Scott A Hedin IV

Title

Office Manager

Phone

(843) 706-5995

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janis A. Hedin, MD

  • Specialist
  • Bluffton, SC
  • NPI 1023082526
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1386833432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 203",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-706-5995",
            "fax_number": "843-706-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 203",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-706-5995",
            "fax_number": "843-706-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HEDIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-706-5995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "19063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bluffton, SC
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.