NPIMap

Organization Active NPI

Family Medicine Centers of South Carolina

Doing business as Midtown Family Medicine

  • Primary Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1649350273
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY MEDICINE CENTERS OF SOUTH CAROLINA
Doing business as
Midtown Family Medicine
Practice address
1910 Gregg St
Columbia, SC 29201-2618
Phone
(803) 779-1420
Fax
(803) 931-0676
NPI assigned
Oct 17, 2006
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY MEDICINE CENTERS OF SOUTH CAROLINAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Stephen F Serbin, M.D.NPI 1992715684
Title
Ceo/Medical Director
Phone
(803) 779-1420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1910 Gregg St
Columbia, SC 29201-2618

Mailing address

1910 Gregg St
Columbia, SC 29201-2618
Phone (803) 779-1420

Other identifiers 1

IdentifierTypeStateIssuer
GP3425MedicaidSC

Other names 1

  • MIDTOWN FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory
Part of
Family Medicine Centers

Locations

1910 Gregg St
Columbia, SC 29201
Phone (803) 779-1420

6108 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 647-1265

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1649350273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012618",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012618",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CENTERS OF SOUTH CAROLINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDICINE CENTERS OF SOUTH CAROLINA",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "SERBIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-779-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.