Jorge O Garcia, M.D., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JORGE O GARCIA, M.D., LLC

Practice address

2531 Evans St
Suite a
Newberry, SC 29108-2939

Phone

(803) 276-7978

Fax

(803) 675-0750

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jorge O Garcia, M.DNPI 1619954708

Title

Provider

Phone

(803) 276-7978

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emmanuel Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

• Jorge O Garcia, M.D.

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1619954708

  Family Medicine, SC

  Medicare reassignment NPD Authorized official
• Franco B Godoy, M.D.

  • Family Medicine Physician
  • Saluda, SC
  • NPI 1174500656

  Family Medicine

  NPD (past)
• Gisella E Godoy, M.D.

  • Family Medicine Physician
  • Saluda, SC
  • NPI 1821075185

  Family Medicine

  NPD (past)

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

CLIA laboratory certificates

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1487630554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 EVANS ST",
            "address_2": "SUITE A",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082939",
            "telephone_number": "803-276-7978",
            "fax_number": "803-675-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 EVANS ST",
            "address_2": "SUITE A",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082939",
            "telephone_number": "803-276-7978",
            "fax_number": "803-675-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE O GARCIA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "803-276-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3499",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Jennings, RN
• Shunti Chick Jeter, LPN
• JL McHugh Insights and Development LLC
• Barbie K. Johnson
• Sidney Johnson, M.ED.
• Randi Bryn Kaplan, MS, ATC
• Karl W. Holtzer, MD
• Rebecca Kennedy, RN
• Charlene Kneece
• Robert William Kopp

• All providers in Newberry, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.