NPIMap

Organization Active NPI

Hartsville SC Primary Care LLC

Doing business as Hartsville Primary Care

  • Primary Care Nurse Practitioner
  • Hartsville, SC
National Provider Identifier
1437515814
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1278 Issued in SC
Legal business name
HARTSVILLE SC PRIMARY CARE LLC
Doing business as
Hartsville Primary Care
Practice address
528 E Carolina Ave
Hartsville, SC 29550-4312
Phone
(843) 332-5111
Fax
(843) 383-8991
NPI assigned
Jan 14, 2016
Last updated
Apr 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Carol J Ferrence, NPNPI 1427064971
Title
Sole Member
Phone
(843) 332-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1278 SC Primary

Addresses

Primary practice location

528 E Carolina Ave
Hartsville, SC 29550-4312

Mailing address

528 E Carolina Ave
Hartsville, SC 29550-4312
Phone (843) 332-5111

Other names 1

  • Hartsville Primary Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1437515814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504312",
            "telephone_number": "843-332-5111",
            "fax_number": "843-383-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504312",
            "telephone_number": "843-332-5111",
            "fax_number": "843-383-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE SC PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "FERRENCE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "843-332-5111",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartsville Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.