Active NPI
Ehealth Medical Systems
- General Practice Physician
- Clio, SC
National Provider Identifier
1386986859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- EHEALTH MEDICAL SYSTEMS
- Practice address
- 200 N Main St
Clio, SC 29525 - Phone
- (843) 606-6515
- Fax
- (843) 306-6035
- NPI assigned
- Mar 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Adams
- Title
- Director/Ceo/President
- Phone
- (843) 306-6105
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Emergency Response System Companies | 333300000X |
Addresses
Primary practice location
200 N Main St
Clio, SC 29525
Mailing address
200 N Main St
Clio, SC 29525-3001
Phone (843) 606-6515
Other practice location 1
1522 Ebenezer Rd
Darlington, SC 29532-7603
Phone (843) 639-7484
Other practice location 2
1326 W Evans St
Florence, SC 29501
Phone (888) 653-4410 ext. 410
Other practice location 3
1326 W Evans St
Florence, SC 29501
Phone (888) 653-4410 ext. 410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP8546 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1326 W Evans St
Florence, SC 29501
Phone 8886534410 ext. 410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1386986859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"city": "CLIO",
"state": "SC",
"postal_code": "295253001",
"telephone_number": "843-606-6515",
"fax_number": "843-306-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"city": "CLIO",
"state": "SC",
"postal_code": "29525",
"telephone_number": "843-606-6515",
"fax_number": "843-306-6035"
}
],
"practiceLocations": [
{
"address_1": "1522 Ebenezer Rd",
"address_purpose": "LOCATION",
"city": "Darlington",
"state": "SC",
"postal_code": "295327603",
"country_code": "US",
"telephone_number": "843-639-7484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1326 W Evans St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "29501",
"country_code": "US",
"telephone_number": "888-653-4410 x410",
"fax_number": "843-799-0036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1326 W Evans St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "29501",
"country_code": "US",
"telephone_number": "888-653-4410 x410",
"fax_number": "843-799-0036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EHEALTH MEDICAL SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-22",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR/CEO/PRESIDENT",
"authorized_official_telephone_number": "843-306-6105"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP8546",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clio, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.