Active NPI
Mary Allyson Emerson, MD
- Family Medicine Physician
- Florence, SC
National Provider Identifier
1457412009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26193
- Practice address
- 800 E Cheves St
Suite 240
Florence, SC 29506-2650 - Phone
- (843) 777-7950
- Fax
- (843) 292-9352
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26193 | SC | Primary |
Addresses
Primary practice location
800 E Cheves St
Suite 240
Florence, SC 29506-2650
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261932 | Medicaid | SC |
Other names 1
- Mary Allyson Wherren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1457412009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7950",
"fax_number": "843-292-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CHEVES ST",
"address_2": "SUITE 240",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062650",
"telephone_number": "843-777-7950",
"fax_number": "843-292-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "MARY",
"middle_name": "ALLYSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "26193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261932",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WHERREN",
"middle_name": "ALLYSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.