Loris Community Hospital District

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LORIS COMMUNITY HOSPITAL DISTRICT

Doing business as

DBA Southern Medical Associates

Practice address

3418 Casey St
Loris, SC 29569-2904

Phone

(843) 756-7885

Fax

(843) 756-7855

NPI assigned

Dec 10, 2009

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LORIS COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Carolyn Ward

Title

Loris Physician Credentialing

Phone

(919) 880-6406

Specialties & licenses 2

Addresses

Other names 1

• DBA Southern Medical Associates Doing business as

Part of

Seacost Pulm Critical Care

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1467781005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 CASEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692904",
            "telephone_number": "843-756-7885",
            "fax_number": "843-756-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 CASEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692904",
            "telephone_number": "843-756-7885",
            "fax_number": "843-756-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "LORIS PHYSICIAN CREDENTIALING",
        "authorized_official_telephone_number": "919-880-6406"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Southern Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loris Anesthesia and Pain Treatment, PLLC
• Loris Community Hospital District (Loris Extended Care Center)
• Loris Community Hospital District (Loris Healthcare System)
• Loris Community Hospital District (Seacoast Pulmonology and Critical Care Associates)
• Loris Community Hospital District (Loris Family Health Center)
• Loris Community Hospital District (Loris Healthcare System)
• Loris Drug Company LLC (Loris Drug Store)
• Loris Drug Store, Inc.
• Loris Drug Store, Inc.
• Loris Eye Associates PC

• Family Medicine Physician in Loris, SC
• Providers in Loris, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.