Organization Active NPI

Precise Medical Staffing Solutions LLC

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Simpsonville, SC
National Provider Identifier
1679150718
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
Legal business name
PRECISE MEDICAL STAFFING SOLUTIONS LLC
Practice address
3104 Grandview Dr Ste C
Simpsonville, SC 29680-2821
Phone
(864) 962-4433
Fax
(864) 529-9263
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Joyce Petty, RNNPI 1548801392
Title
Director
Phone
(864) 962-4433

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
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KI0005X Primary

Addresses

Primary practice location

3104 Grandview Dr Ste C
Simpsonville, SC 29680-2821

Mailing address

PO Box 81075
Simpsonville, SC 29680-0018

National Provider Directory

National Provider Directory

Locations

3104 Grandview Dr
#C
Simpsonville, SC 29680
Phone (864) 214-3075

Practitioners & affiliated clinicians

Practitioners 1

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1679150718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81075",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296800018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 GRANDVIEW DR STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296802821",
            "telephone_number": "864-962-4433",
            "fax_number": "864-529-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE MEDICAL STAFFING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-962-4433",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.