Ingenious Medical Practices, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INGENIOUS MEDICAL PRACTICES, LLC

Practice address

207 S Main St
Summerville, SC 29483-6096

Phone

(843) 879-2329

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Amy Young, FNP-C, DNP

Title

Director

Phone

(843) 879-2329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1639760606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836096",
            "telephone_number": "843-879-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836096",
            "telephone_number": "843-879-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGENIOUS MEDICAL PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-879-2329",
        "authorized_official_credential": "FNP-C, DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.