Organization Active NPI

Oconee Physician Practices

  • Rural Health Clinic/Center
  • Clemson, SC
National Provider Identifier
1528302783
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OCONEE PHYSICIAN PRACTICES
Doing business as
Clemson-Seneca Pediatrics
Practice address
208 Frontage Rd
Suite 1
Clemson, SC 29631-1691
Phone
(864) 654-6034
Fax
(864) 654-0342
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mr. Bryan M McCain
Title
Executive Director
Phone
(864) 885-7673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

208 Frontage Rd
Suite 1
Clemson, SC 29631-1691

Mailing address

301 Memorial Dr
Suite F
Seneca, SC 29672-9491
Phone (864) 885-7989

Other identifiers 1

IdentifierTypeStateIssuer
423890OtherSCRHC

Other names 1

  • Clemson-Seneca Pediatrics Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-7520

772 N Townville St
Seneca, SC 29678
Phone (864) 886-9300

501 Rochester Hwy
Ste D
Seneca, SC 29672
Phone (864) 886-0080

103 Carter Park Dr
#A
Seneca, SC 29678
Phone (864) 482-2360

107 Omni Dr
#A
Seneca, SC 29672
Phone (864) 482-3000

103 Omni Dr
#A
Seneca, SC 29672
Phone (864) 482-3243

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1528302783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL DR",
            "address_2": "SUITE F",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729491",
            "telephone_number": "864-885-7989",
            "fax_number": "864-885-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FRONTAGE RD",
            "address_2": "SUITE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311691",
            "telephone_number": "864-654-6034",
            "fax_number": "864-654-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PHYSICIAN PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-885-7673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC",
            "identifier": "423890",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clemson-Seneca Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.