NPIMap

Organization Active NPI

Dillon Family Medicine, P.a.

  • Family Medicine Physician
  • Dillon, SC
National Provider Identifier
1629057401
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8827 Issued in SC
Legal business name
DILLON FAMILY MEDICINE, P.A.
Practice address
603 N 6TH Ave
Dillon, SC 29536-2503
Phone
(843) 774-7336
Fax
(843) 774-5656
NPI assigned
Jan 11, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Michael N Brown, M.D.NPI 1497775670
Title
Vice President
Phone
(843) 774-7336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8827 SC Primary

Addresses

Primary practice location

603 N 6TH Ave
Dillon, SC 29536-2503

Mailing address

603 N 6TH Ave
P O Box 1069
Dillon, SC 29536-2503
Phone (843) 774-7336

Other identifiers 3

IdentifierTypeStateIssuer
PA294-2MedicaidSC
CB3397OtherSCRAILROAD MEDICARE
8901432MedicaidNC

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629057401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N 6TH AVE",
            "address_2": "P O BOX 1069",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362503",
            "telephone_number": "843-774-7336",
            "fax_number": "843-774-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N 6TH AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362503",
            "telephone_number": "843-774-7336",
            "fax_number": "843-774-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLON FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-774-7336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA294-2",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3397",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901432",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.