Kershaw Family Medicine Associates LLC
Organization Active NPI Family Medicine Physician · Kershaw, SC
NPI 1437130861 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1437130861
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- KERSHAW FAMILY MEDICINE ASSOCIATES LLC
- Practice address
- 216 E Marion St
Kershaw, SC 29067-1442 - Phone
- (803) 475-3475
- Fax
- (803) 475-5360
- NPI assigned
- Nov 11, 2005
- Organization subpart
- No
Authorized official
- Name
- James M Timmons Jr., MD
- Title
- President
- Phone
- (803) 475-3475
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
216 E Marion St
Kershaw, SC 29067-1442
Mailing address
216 E Marion St
Kershaw, SC 29067-1442
Phone (803) 475-3475
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3501 | Medicaid | SC | |
| RHC133 | Medicaid | SC |
Other providers in Kershaw, SC
- John R Howell Jr.
- Gabriel Buchanan Ingraham III
- John F Zeedick MD Inc
- Robin D Johnson
- Kershaw Counseling, LLC
- Kershaw Family Pharmacy
- James Fletcher Koon
- Lancaster Clinic Corp
- Lancaster Clinic Corp
- Chineze Catherine Maduike
All providers in Kershaw, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.