Individual provider Active NPI

C. Bliss Webb, DO

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1417964685
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
777 Issued in SC
Practice address
1822 Sally Hill Farms Blvd
Florence, SC 29501-6987
Phone
(843) 292-8383
Fax
(843) 292-8382
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 777 SC Primary

Addresses

Primary practice location

1822 Sally Hill Farms Blvd
Florence, SC 29501-6987

Mailing address

1822 Sally Hill Farms Blvd
Florence, SC 29501-6987
Phone (843) 292-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804001323 SC Order and Referring Only - Family PracticePractitioner - Family Practice 6709859713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417964685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 SALLY HILL FARMS BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016987",
            "telephone_number": "843-292-8383",
            "fax_number": "843-292-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SALLY HILL FARMS BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016987",
            "telephone_number": "843-292-8383",
            "fax_number": "843-292-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "C.",
        "middle_name": "BLISS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.