St Francis Physician Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST FRANCIS PHYSICIAN SERVICES INC

Doing business as

Hillcrest Family Practice

Practice address

717 SE Main St
Simpsonville, SC 29681

Phone

(864) 963-1548

Fax

(864) 963-3381

NPI assigned

Aug 27, 2008

Last updated

May 21, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ST FRANCIS PHYSICIAN SERVCIES INCAs reported in NPPES

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

Authorized official

Name

Cheryl M Fairley

Title

Vice Pres-Network Op

Phone

(864) 605-3721

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hillcrest Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Carolina Orthopaedic Center

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1477700805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25039",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296160039",
            "telephone_number": "864-963-1548",
            "fax_number": "864-963-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-963-1548",
            "fax_number": "864-963-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVCIES INC",
        "enumeration_date": "2008-08-27",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "FAIRLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRES-NETWORK OP",
        "authorized_official_telephone_number": "864-605-3721"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1382",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• St Francis Physician Services Inc (Holly Tree Family Practice)
• St Francis Physician Services Inc (Fairview Family Practice)
• Joshua Lee Stamps, PHARMD
• Sara Stanley, FNP-C
• Justin Stano
• Hope Christmas Stayman, B.A., SLPA

• Family Medicine Physician in Simpsonville, SC
• Providers in Simpsonville, 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 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.