Medlife Internal Medicine and Primary Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDLIFE INTERNAL MEDICINE AND PRIMARY CARE, LLC

Doing business as

Medlife Im-PCP

Practice address

1403 E Greenville St Ste D
Anderson, SC 29621-2285

Phone

(864) 745-8767

Fax

(864) 745-8770

NPI assigned

Sep 19, 2023

Last updated

Apr 30, 2024By 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

Vipin Verma, MDNPI 1093156580

Title

Manager

Phone

(864) 745-8767

Specialties & licenses 1

Addresses

Other names 1

• MEDLIFE IM-PCP Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 7

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.

• Vipin Verma, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Anderson, SC
  • NPI 1093156580
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Cato, MD

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1689327181
  Medicare reassignment Care Compare group NPD
• Rashmi Chandra, M.B.B.S.

  • Internal Medicine Physician
  • Anderson, SC
  • NPI 1043447378
  Medicare reassignment Care Compare group NPD
• Ravi Kant, M.B.B.S.

  • Endocrinology, Diabetes & Metabolism Physician
  • Anderson, SC
  • NPI 1720242183

  Internal Medicine

  Medicare reassignment NPD
• Deanne Leigh Williams, FNP

  • Nurse Practitioner
  • Anderson, SC
  • NPI 1356888671
  Medicare reassignment NPD
• Lakshya Chandra, M.D

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1336580802

  SC

  Medicare reassignment NPD
• Heather Rodebaugh Still, PA

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1164175840
  Medicare reassignment

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1609654714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2808",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296222808",
            "telephone_number": "864-745-8767",
            "fax_number": "864-745-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E GREENVILLE ST STE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212285",
            "telephone_number": "864-745-8767",
            "fax_number": "864-745-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE INTERNAL MEDICINE AND PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "VIPIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "864-745-8767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDLIFE IM-PCP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDLIFE IM-PCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.