Active NPI
Southmed Services, LLC
- Family Nurse Practitioner
- Conway, SC
National Provider Identifier
1447815246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SOUTHMED SERVICES, LLC
- Practice address
- 8014 Myrtle Trace Dr
Conway, SC 29526-8945 - Phone
- (843) 997-0912
- Fax
- (888) 979-8571
- NPI assigned
- May 7, 2019
- Last updated
- May 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra M Bremner, FNP
- Title
- Nurse Practitioner
- Phone
- (843) 997-0912
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
8014 Myrtle Trace Dr
Conway, SC 29526-8945
Mailing address
137 Holcombe LN
Conway, SC 29527-8616
Phone (843) 997-0912
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Conway, SC
- NPI 1699722884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557187200000",
"number": "1447815246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HOLCOMBE LN",
"city": "CONWAY",
"state": "SC",
"postal_code": "295278616",
"telephone_number": "843-997-0912",
"fax_number": "888-979-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8014 MYRTLE TRACE DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268945",
"telephone_number": "843-997-0912",
"fax_number": "888-979-8571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHMED SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A",
"authorized_official_last_name": "BREMNER",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "843-997-0912",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
- South Carolina Podiatric Physicians and Surgeons Group,LLC
- South Carolina Retina Institute LLC
- Southern Oak Dental Conway, LLC
- Southern Oak Dental, LLC
- Southern Urgent Transport LLC
- Southside Pharmacy LLC (Southside Pharmacy)
- Sparrow Dental LLC
- Tammy Spencer, MS PSYCHOLOGY
- Elisa Sperduto, LMSW
- Kay J. Spires, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.