Midland Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00719 Issued in FL

Legal business name

MIDLAND FAMILY MEDICINE

Practice address

2525 Kinard St
Newberry, SC 29108-2909

Phone

(803) 276-4860

Fax

(803) 276-2812

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Laura M Laprise

Title

Billing Manager

Phone

(803) 405-1900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629175864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082909",
            "telephone_number": "803-276-4860",
            "fax_number": "803-276-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082909",
            "telephone_number": "803-276-4860",
            "fax_number": "803-276-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAPRISE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "803-405-1900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "00719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T00504",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3816",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dipa McGee
• Becky Bedenbaugh McGlohorn
• Medical Park Dentistry
• Jordan Charles Meyers, PHARMD
• Michael J White MD, LLC
• Midlands Chiropractic
• Midlands Physical Therapy and Wellness LLC.
• Katrina J. Minick, R.N.
• Leslie Minick
• Cara Morris, SLT

• Family Medicine Physician in Newberry, SC
• Providers in Newberry, SC by specialty
• Family Medicine Physician in South Carolina

• 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.