Beaufort Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEAUFORT FAMILY MEDICINE, PA

Practice address

974 Ribaut Rd
Beaufort, SC 29902-5486

Phone

(843) 524-3344

Fax

(843) 524-5574

NPI assigned

Nov 4, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Lucius Laffitte Jr., MD

Title

Physician

Phone

(843) 524-3344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beaufort Family Practice, PA Former legal business name

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.

• Samuel Clark Trask, MD

  • Family Medicine Physician
  • Beaufort, SC
  • NPI 1730160896
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447241740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-3344",
            "fax_number": "843-524-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-3344",
            "fax_number": "843-524-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFFITTE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "LUCIUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-524-3344",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0057",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaufort Family Practice, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Beaufort ENT & Allergy LLC
• Beaufort Family Care LLC
• Beaufort Family Care, LLC
• Beaufort Family Dentistry VSM LLC
• Beaufort Family Medicine PA
• Beaufort Gastroenterology
• Beaufort Internal Medicine LLC
• Beaufort Jasper Hampton Comprehensive Health Services, Inc (Port Royal OB/GYN)
• Beaufort Medical Equipment Inc
• Beaufort Medical Imaging Inc

• Family Medicine Physician in Beaufort, SC
• Providers in Beaufort, 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 Aug 22, 2020; 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.