NPIMap

Organization Active NPI

Georgetown Health Group

Doing business as Medical Building, PA

  • Primary Care Clinic/Center
  • Hemingway, SC
National Provider Identifier
1568514560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GEORGETOWN HEALTH GROUP
Doing business as
Medical Building, PA
Practice address
456 N Main St
Hemingway, SC 29554-9190
Phone
(843) 558-9319
Fax
(843) 558-9818
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amanda Wright
Title
Vice Adminstrator
Phone
(843) 527-4442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

456 N Main St
Hemingway, SC 29554-9190

Mailing address

1075 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-4442

Other names 1

  • Medical Building, PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgetown Health Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568514560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402848",
            "telephone_number": "843-527-4442",
            "fax_number": "843-527-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N MAIN ST",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295549190",
            "telephone_number": "843-558-9319",
            "fax_number": "843-558-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE ADMINSTRATOR",
        "authorized_official_telephone_number": "843-527-4442"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Building, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemingway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.