St Francis Physician Services Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ST FRANCIS PHYSICIAN SERVICES INC

Practice address

317 Saint Francis Dr
Ste 220
Greenville, SC 29601-3965

Phone

(864) 255-1554

Fax

(844) 318-9058

NPI assigned

Apr 22, 2013

Organization subpart

Yes

Parent organization

ST FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

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

Authorized official

Name

Wilbur R Gay III

Title

Vice President of Finance-BSMG

Phone

(864) 605-3762

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Geriatric Care Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

The OBGYN Group of Greenville

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1669816625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-255-1554",
            "fax_number": "864-679-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SAINT FRANCIS DR",
            "address_2": "STE 220",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013965",
            "telephone_number": "864-255-1554",
            "fax_number": "844-318-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2013-04-22",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE-BSMG",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Geriatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc

• Geriatric Medicine (Internal Medicine) Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Geriatric Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; 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.