Free Medical Clinic of Darlington County

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FREE MEDICAL CLINIC OF DARLINGTON COUNTY

Practice address

203 Grove St
Darlington, SC 29532-3945

Phone

(843) 398-0060

Fax

(843) 398-0401

NPI assigned

May 29, 2019

Last updated

May 29, 2019By 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

Kristin Huntley, PA-CNPI 1972160984

Title

Clinical Coordinator

Phone

(843) 398-0060

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17752/brand/1/csg/1/fhir/r4

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.

• Kristin Wike Huntley, PA-C

  • Medical Physician Assistant
  • Florence, SC
  • NPI 1972160984
  NPD Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1457919110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323945",
            "telephone_number": "843-398-0060",
            "fax_number": "843-398-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323945",
            "telephone_number": "843-398-0060",
            "fax_number": "843-398-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MEDICAL CLINIC OF DARLINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "HUNTLEY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "843-398-0060",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie B Flowers, RN
• Michael Patrick Flynn, CRNA
• Forma Medical Solutions LLC
• Forma Medical Solutions LLC
• Forma Medical Solutions LLC
• Freshstart Medical Management Inc.
• Dharaben Gajjar, DDS
• Lashaundra Gardner
• Gwendolyn Jett Gattison
• Trevonda Gee

• Primary Care Clinic/Center in Darlington, SC
• Providers in Darlington, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.