Kershaw Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KERSHAW HEALTH

Practice address

40 Pinnacle Parkway
Building 100 Suite 208
Elgin, SC 29045-8999

Phone

(803) 424-5165

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Donnie J Weeks

Title

Ceo

Phone

(803) 713-6227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KERSHAWHEALTH PRIMARY CARE AT ELGIN Doing business as

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1528058641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PARKWAY",
            "address_2": "BUILDING 100 SUITE 208",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458999",
            "telephone_number": "803-424-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-713-6227",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "GP2222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERSHAWHEALTH PRIMARY CARE AT ELGIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Lim Kang, DPT
• Kathleen Antonetti, MD, LLC
• James Taylor Keen, PA-C
• Frances T Kelly, PT
• Kershaw Clinics LLC
• Kershaw Hospital LLC
• Kershaw Hospital LLC
• Keymed Cpap Services LLC
• Sara Abigail Kim
• Michelle Marie King, BCBA

• Family Medicine Physician in Elgin, SC
• Providers in Elgin, 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 Jun 18, 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.