Organization Active NPI

Pee Dee Cardiology Associates PA

  • Cardiovascular Disease Physician
  • Florence, SC
National Provider Identifier
1437176872
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PEE DEE CARDIOLOGY ASSOCIATES PA
Practice address
901 E Cheves St
Ste 600
Florence, SC 29506-2705
Phone
(843) 667-1891
Fax
(843) 665-2516
NPI assigned
Jul 15, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Mr. Jerry Vereen
Title
Practice Administrator
Phone
(843) 667-1891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

901 E Cheves St
Ste 600
Florence, SC 29506-2705

Mailing address

901 E Cheves St
Ste 600
Florence, SC 29506-2705
Phone (843) 667-1891

Other identifiers 1

IdentifierTypeStateIssuer
0611PAMedicaidSC

National Provider Directory

National Provider Directory

Locations

1076 Marlboro Way
Ste 6
Bennettsville, SC 29512
Phone (843) 454-0026

3980 Highway 9 E
Ste 360
Little River, SC 29566
Phone (843) 667-1891

4000 Highway 9 E
#245
Little River, SC 29566
Phone (843) 390-0877

4000 Highway 9 E
Ste 245
Little River, SC 29566
Phone (843) 366-2940

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1437176872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E CHEVES ST",
            "address_2": "STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062705",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E CHEVES ST",
            "address_2": "STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062705",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "VEREEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-667-1891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.