Primecare Health Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

24049 Issued in SC

Legal business name

PRIMECARE HEALTH CENTER PA

Practice address

1055 Ribaut Rd
Suite 10
Beaufort, SC 29902-5423

Phone

(843) 524-2100

Fax

(843) 525-9613

NPI assigned

Nov 21, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Y Pope, MD

Title

Owner

Phone

(843) 524-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Theresa Ann Morris, PA

  • Physician Assistant
  • Beaufort, SC
  • NPI 1114906492
  NPD (past)
• Gina Y Jordan, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
  • NPI 1225032741
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1659446219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 KEMMERLIN LANE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-524-2100",
            "fax_number": "843-525-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD",
            "address_2": "SUITE 10",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025423",
            "telephone_number": "843-524-2100",
            "fax_number": "843-525-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-524-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "24049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE #",
            "identifier": "24049",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda May Powell, PA-C
• Heaven Powell
• Cameron Paige Price, PA-C
• Erica Yurcaba Price, N.P.
• Primary & Specialty Care for Assisted Living & Independent Living
• PRN Staffers BSC, LLC (PRN Staffers Inc)
• Marsha Probst
• Profiles
• Eric John Prokopovich, DO
• Jenna Marie Prokopovich, RN BSN

• Specialist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.