Carolinas Medical Alliance Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINAS MEDICAL ALLIANCE INC

Doing business as

Carolinas Medical Alliance - Lake City Primary Care

Practice address

148 Sauls St
Lake City, SC 29560-2631

Phone

(843) 374-3621

NPI assigned

Dec 3, 2014

Last updated

Dec 3, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CHS/COMMUNITY HEALTH SYSTEMS, INC.As reported in NPPES

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

Authorized official

Name

Pat Wright

Title

Director

Phone

(615) 465-7633

Specialties & licenses 1

Addresses

Other names 1

• Carolinas Medical Alliance - Lake City Primary Care Doing business as

Part of

CHS Community Health Systems Inc

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1417354606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SAULS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602631",
            "telephone_number": "843-374-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SAULS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602631",
            "telephone_number": "843-374-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL ALLIANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS/COMMUNITY HEALTH SYSTEMS, INC.",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7633"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Medical Alliance - Lake City Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Lake City, SC
• Providers in Lake City, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.