Beach Medical Weight Loss North Augusta SC LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEACH MEDICAL WEIGHT LOSS NORTH AUGUSTA SC LLC

Practice address

220 Edgefield Rd
North Augusta, SC 29841-1941

Phone

(803) 426-8882

Fax

(803) 426-8910

NPI assigned

Jan 29, 2019

Organization subpart

No

Name

Donald Rogers

Title

Owner

Phone

(803) 426-8882

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2021.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1447714993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EDGEFIELD RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298411941",
            "telephone_number": "803-426-8882",
            "fax_number": "803-426-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EDGEFIELD RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298411941",
            "telephone_number": "803-426-8882",
            "fax_number": "803-426-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL WEIGHT LOSS NORTH AUGUSTA SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-426-8882"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Banning, OTR/L
• Tracy Robin Barefield, MD
• Casey D Barrow, PHARM.D.
• Allison Bass, DMD
• John Clayton Bates, DMD
• Jason Tyler Belcourt
• Sharon H Bell, PTA
• Aaron Bellendier
• Joshua Bellow
• Belvedere Elementary

• All providers in North Augusta, SC
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.