Organization Active NPI

Family Physicians Group PA

  • Family Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1457339269
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3486 Issued in SC
Legal business name
FAMILY PHYSICIANS GROUP PA
Practice address
104 Pinehill Rd
Orangeburg, SC 29115-4543
Phone
(803) 536-5752
Fax
(803) 534-6561
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. James Y White, MD
Title
President
Phone
(803) 536-5752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3486 SC Primary

Addresses

Primary practice location

104 Pinehill Rd
Orangeburg, SC 29115-4543

Mailing address

PO Box 1284
Orangeburg, SC 29116-1284
Phone (803) 536-4555

Other identifiers 2

IdentifierTypeStateIssuer
GP4804MedicaidSC
DD9846OtherSCMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

909 Summers Ave
Orangeburg, SC 29115
Phone (803) 536-5752

19 Saint Matthews Rd
St Matthews, SC 29135
Phone (803) 655-6132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1457339269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161284",
            "telephone_number": "803-536-4555",
            "fax_number": "803-534-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PINEHILL RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154543",
            "telephone_number": "803-536-5752",
            "fax_number": "803-534-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-536-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4804",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD9846",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.