Organization Active NPI

Oconee Pediatrics

  • Rural Health Clinic/Center
  • Seneca, SC
National Provider Identifier
1629049127
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OCONEE PEDIATRICS
Practice address
15579 Wells Highway
Seneca, SC 29678-4318
Phone
(864) 882-7800
Fax
(864) 882-5908
NPI assigned
Feb 1, 2006
Last updated
Dec 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Dr. Frank A Stewart, D.O.NPI 1477533917
Title
Business Owner
Phone
(864) 882-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

15579 Wells Highway
Seneca, SC 29678-4318

Mailing address

15579 Wells Highway
Seneca, SC 29678-4318
Phone (864) 882-7800

Other identifiers 1

IdentifierTypeStateIssuer
RHC135MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629049127. Details of each certification follow.

Rural health clinic certification: CCN 428919

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OCONEE PEDIATRICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 12, 1997
Last certification
Nov 21, 2023
Ownership / control type
2B
Most recent change of ownership
Oct 31, 2003 (2 total)
Facility address
15579 Wells Highway
Seneca, SC 29678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1629049127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15579 WELLS HIGHWAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784318",
            "telephone_number": "864-882-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15579 WELLS HIGHWAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784318",
            "telephone_number": "864-882-7800",
            "fax_number": "864-882-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "864-882-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC135",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.