Individual provider Active NPI

Loren D Harter, MD

  • Family Medicine Physician
  • Holly Hill, SC
National Provider Identifier
1508864885
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23851 Issued in SC
Practice address
922 Holly St
Holly Hill, SC 29059-2762
Phone
(803) 496-7174
NPI assigned
Jul 12, 2005
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23851 SC Primary

Addresses

Primary practice location

922 Holly St
Holly Hill, SC 29059-2762

Mailing address

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

Other identifiers 1

IdentifierTypeStateIssuer
T82032MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000070 SC Practitioner - Family Practice 7517860430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers, Inc.Group PAC ID 2860305075, 25 clinicians

Practice addresses (Care Compare)

3310 Magnolia St
Orangeburg, SC 29115-1466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23851SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc CurrentSince Jun 5, 2017 Accepting new patients
Family Health Centers, Inc CurrentSince Jun 5, 2017 Accepting new patients

Locations

922 Holly St
Holly Hill, SC 29059
Phone (803) 496-7174

3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEFCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1508864885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HOLLY ST",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290592762",
            "telephone_number": "803-496-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTER",
        "first_name": "LOREN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T82032",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Hill, SC

Sources for this page

Verify at the official NPI Registry.