Active NPI
Self Regional Physician Services
Doing business as The Family Healthcare Center
- Family Medicine Physician
- Laurens, SC
National Provider Identifier
1619990884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SELF REGIONAL PHYSICIAN SERVICES
- Doing business as
- The Family Healthcare Center
- Practice address
- 22580 Highway 76 E
Suite 100
Laurens, SC 29360-8439 - Phone
- (864) 833-5986
- Fax
- (864) 833-0599
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 13, 2014
- Organization subpart
- Yes
- Parent organization
- SELF REGIONAL PHYSICIAN SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Pfeiffer
- Title
- President and Ceo
- Phone
- (864) 725-4253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
22580 Highway 76 E
Suite 100
Laurens, SC 29360-8439
Mailing address
PO Box 30
Clinton, SC 29325
Phone (864) 833-5986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4470 | Medicaid | SC |
Other names 1
- The Family Healthcare Center
National Provider Directory
National Provider Directory- Part of
- Self Reg Phys Serv
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394668800000",
"number": "1619990884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30",
"city": "CLINTON",
"state": "SC",
"postal_code": "29325",
"telephone_number": "864-833-5986",
"fax_number": "864-833-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22580 HIGHWAY 76 E",
"address_2": "SUITE 100",
"city": "LAURENS",
"state": "SC",
"postal_code": "293608439",
"telephone_number": "864-833-5986",
"fax_number": "864-833-0599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELF REGIONAL PHYSICIAN SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SELF REGIONAL PHYSICIAN SERVICES",
"enumeration_date": "2006-07-26",
"last_updated": "2014-03-13",
"status": "A",
"authorized_official_last_name": "PFEIFFER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "864-725-4253"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4470",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Family Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Laurens, SC
- Self Medical Group (Clinton Family Medicine)
- Self Medical Group
- Self Medical Group
- Self Regional Healthcare (Self Medical Center Laurens)
- Self Regional Healthcare (Self Medical Center Laurens)
- Ruth S Shealy, NP
- Stephanie Elaine Shealy, MSP, CCC-SLP
- Kaitlin Reid Sherfield, LPC-A
- Brenda Earle Simmons, LPN
- Dmitris Rashad Singleton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.