NPIMap

Organization Active NPI

South Carolina Neurology Associates LLC

  • Neurology Physician
  • Seneca, SC
National Provider Identifier
1649039462
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SOUTH CAROLINA NEUROLOGY ASSOCIATES LLC
Practice address
201 Ste B Central Park Lane
Seneca, SC 29678-1156
Phone
(864) 577-9107
Fax
(864) 699-1999
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Mrs. Urvi Shah, CEONPI 1053759332
Title
Owner
Phone
(864) 577-9107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

201 Ste B Central Park Lane
Seneca, SC 29678-1156

Mailing address

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 577-9107

National Provider Directory

National Provider Directory

Locations

201 Central Park Ln
Ste B
Seneca, SC 29678
Phone (864) 577-9107

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1649039462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-577-9107",
            "fax_number": "864-699-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STE B CENTRAL PARK LANE",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781156",
            "telephone_number": "864-577-9107",
            "fax_number": "864-699-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA NEUROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "URVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-577-9107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.