Organization Active NPI

Umg Prompt Care South Carolina, LLC

  • Family Medicine Physician
  • North Augusta, SC
National Provider Identifier
1629462122
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UMG PROMPT CARE SOUTH CAROLINA, LLC
Doing business as
University Prompt Care Sweetwater
Practice address
325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone
(803) 202-3551
Fax
(803) 819-8532
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Julie Deason
Title
Director of Revenue Cycle
Phone
(706) 774-8326

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

107 Walnut Lane Ste. # 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

Other practice location 2

1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone (803) 648-9846

Other practice location 3

3515 Richland Ave
Aiken, SC 29801-6311
Phone (803) 642-2626

Other names 1

  • University Prompt Care Sweetwater Doing business as

National Provider Directory

National Provider Directory

Locations

3515 Richland Ave W
Aiken, SC 29801
Phone (803) 502-5527

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1629462122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GEORGIA AVE STE 100",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413848",
            "telephone_number": "803-202-3551",
            "fax_number": "803-819-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Walnut Lane Ste. # 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "fax_number": "803-202-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035879",
            "country_code": "US",
            "telephone_number": "803-648-9846",
            "fax_number": "803-648-9846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016311",
            "country_code": "US",
            "telephone_number": "803-642-2626",
            "fax_number": "803-642-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UMG PROMPT CARE SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "DEASON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "706-774-8326"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Prompt Care Sweetwater",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Prompt Care Sweetwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.