Queens Rheumatology LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

QUEENS RHEUMATOLOGY LLC

Practice address

1040 Edgewater Corporate Pkwy Ste 106
Suite 106
Fort Mill, SC 29707-4526

Phone

(803) 913-4500

Fax

(803) 913-4600

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Diane Teresa GeorgeNPI 1811130123

Title

MD

Phone

(803) 913-4500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Teresa George, MD

  • Rheumatology Physician
  • Fort Mill, SC
  • NPI 1811130123
  Medicare reassignment NPD Authorized official
• Orville Lee Campbell, PA-C

  • Physician Assistant
  • Indian Land, SC
  • NPI 1740293976
  Medicare reassignment NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1649008087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-913-4500",
            "fax_number": "803-913-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 106",
            "address_2": "SUITE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-913-4500",
            "fax_number": "803-913-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "803-913-4500"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Comfort Homecare
• Marjorie Nix Pusey
• Nicole Pytlinski, M.S., OTR/L
• Ying Qu
• Quarterman Dental Associates (Opulent Orthodontics)
• R.E. Offutt, DDS, Ms and B.L. Cockerham DDS, MSP, PLLC (Fort Mill Periodontics & Implant Dentistry)
• Corinne Leigh Race, RPH
• Jennifer F Radcliffe, LCSW, LISW-CP
• Malgorzata Ewa Radziszewska-Petros, NCAC II, AADC, CADC
• Sofia Ramirez, RBT

• Rheumatology Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Rheumatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.