Organization Active NPI

East Main Medical Services, LLC

  • Family Medicine Physician
  • Lake City, SC
National Provider Identifier
1548445166
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST MAIN MEDICAL SERVICES, LLC
Practice address
238 E Main St
Lake City, SC 29560-2114
Phone
(843) 374-7020
Fax
(843) 374-7021
NPI assigned
Jan 2, 2008
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
William Clark Griggs, M.D.NPI 1457376055
Title
Owner
Phone
(843) 374-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

238 E Main St
Lake City, SC 29560-2114

Mailing address

PO Box 640
Lake City, SC 29560-0640
Phone (843) 374-7020

National Provider Directory

National Provider Directory

Locations

238 E Main St
Lake City, SC 29560
Phone (843) 374-7020

Practitioners & affiliated clinicians

Practitioners 1

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1548445166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295600640",
            "telephone_number": "843-374-7020",
            "fax_number": "843-374-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602114",
            "telephone_number": "843-374-7020",
            "fax_number": "843-374-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MAIN MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-374-7020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.