Piedmont Family Practice at Baxter Village, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT FAMILY PRACTICE AT BAXTER VILLAGE, LLC

Practice address

502 Sixth Baxter Xing
Ste a
Fort Mill, SC 29708-6428

Phone

(803) 835-2088

Fax

(803) 835-2099

NPI assigned

Sep 12, 2013

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Locations

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.

• Courtney Marie Casey, PA-C

  • Physician Assistant
  • Fort Mill, SC
  • NPI 1508285685
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1548695232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742746",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742746",
            "telephone_number": "803-835-2088",
            "fax_number": "803-835-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SIXTH BAXTER XING",
            "address_2": "STE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086428",
            "telephone_number": "803-835-2088",
            "fax_number": "803-835-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY PRACTICE AT BAXTER VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhung Thi Phan, D.M.D.
• Trudy Phelps, PH.D
• Phoenix Wellness LLC
• Piedmont Express Care at Sutton Road, LLC (Sutton Road Pediatrics)
• Piedmont Express Care at Sutton Road, LLC
• Piedmont Family Practice at Tega Cay, LLC (Piedmont Family Practice at Tega Cay)
• Piedmont Gynecological and Obstetrical Associates
• Piedmont Internal Medicine at Baxter Village LLC
• Piedmont Urgent Care Center at Baxter Village LLC
• Freddie Pinkney, RBT

• Family Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, 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 23, 2016; 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.