NPIMap

Organization Active NPI

St. Francis Physician Services Inc

Doing business as Millennium Internal Medicine

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1518285691
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. FRANCIS PHYSICIAN SERVICES INC
Doing business as
Millennium Internal Medicine
Practice address
2 Innovation Dr Ste 300a
Greenville, SC 29607-5268
Phone
(864) 365-0123
Fax
(864) 365-0133
NPI assigned
May 13, 2010
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Wilbur R Gay III
Title
Vice President of Finance-BSMG
Phone
(864) 605-3762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2 Innovation Dr Ste 300a
Greenville, SC 29607-5268

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 365-0123

Other names 1

  • MILLENNIUM INTERNAL MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000259 SC Part B Supplier - Clinic/Group Practice 6608826821 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2021424Millennium Internal Medicine2 Innovation Dr, Suite 300a, Greenville, SC 29607Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Francis Physician Services Inc39 organizations share this tax ID, including this one
Part of
St Francis Physician Services Inc

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

910 N Main St
Ste 100
Fountain Inn, SC 29644
Phone (864) 967-4982

1338 Highway 14
Simpsonville, SC 29681
Phone (864) 297-7091

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1518285691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-365-0123",
            "fax_number": "864-365-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 300A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075268",
            "telephone_number": "864-365-0123",
            "fax_number": "864-365-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2010-05-13",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE-BSMG",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLENNIUM INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.