Pee Dee Kids LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PEE DEE KIDS LLC

Practice address

347 Dovesville Hwy
Darlington, SC 29540-9366

Phone

(843) 230-8824

Fax

(877) 827-5681

NPI assigned

Jun 3, 2019

Organization subpart

No

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

Authorized official

Name

Tchalla Y DouglasNPI 1437612249

Title

Owner/Early Intervention Supervisor

Phone

(843) 230-8824

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tchalla Douglas

  • Early Intervention Provider Agency
  • Darlington, SC
  • NPI 1437612249
  NPD (past) Authorized official

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1669030946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295400607",
            "telephone_number": "843-230-8824",
            "fax_number": "877-827-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 DOVESVILLE HWY",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295409366",
            "telephone_number": "843-230-8824",
            "fax_number": "877-827-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "TCHALLA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/EARLY INTERVENTION SUPERVISOR",
        "authorized_official_telephone_number": "843-230-8824"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pee Dee Health Care, PA
• Pee Dee Health Care, PA
• Pee Dee Health Care, PA
• Pee Dee Healthcare
• Pee Dee Healthcare PA
• Pee Dee Medical Associates, LLC
• Pee Dee Professional Intervention Services, LLC
• Peedeehealthcare
• Perry, Askins ,Baker
• Mark Austin Perry, DMD

• Early Intervention Provider Agency in Darlington, SC
• Providers in Darlington, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.