Organization Active NPI

DN Medical Consultants LLC

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1568078178
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DN MEDICAL CONSULTANTS LLC
Practice address
1 Spring Back Way
Anderson, SC 29621-2676
Phone
(864) 716-2600
Fax
(205) 262-8658
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Damodhar Nerella, MD
Title
Owner
Phone
(864) 940-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1 Spring Back Way
Anderson, SC 29621-2676

Mailing address

119 Charping LN
Anderson, SC 29621-2565
Phone (864) 940-8482

Other identifiers 1

IdentifierTypeStateIssuer
27041OtherSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dnmedicalconsultants.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1568078178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHARPING LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212565",
            "telephone_number": "864-940-8482",
            "fax_number": "408-827-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRING BACK WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212676",
            "telephone_number": "864-716-2600",
            "fax_number": "205-262-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DN MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "NERELLA",
        "authorized_official_first_name": "DAMODHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-940-8482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "27041",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dnmedicalconsultants.com",
            "affiliation": "N",
            "address_1": "1 Spring Back Way",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296212676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.