NPIMap

Organization Active NPI

Providence House Calls LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rock Hill, SC
National Provider Identifier
1689912495
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
PROVIDENCE HOUSE CALLS LLC
Practice address
500 Lakeshore Pkwy
Rock Hill, SC 29730-4273
Phone
(803) 818-6955
Fax
(803) 818-6993
NPI assigned
Jan 29, 2013
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Beth Taylor
Title
Billing Administrator
Phone
(803) 372-5884

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

500 Lakeshore Pkwy
Rock Hill, SC 29730-4273

Mailing address

PO Box 10984
Rock Hill, SC 29731-0984
Phone (844) 628-2273

Other practice location 1

634 Fairview Rd
Simpsonville, SC 29680-6707
Phone (864) 881-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130430000366 SC Part B Supplier - Clinic/Group Practice 1759528250 Receives reassigned benefits from 61 practitioners
Practice locations: Rock Hill, SC; Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

100 Willow Ln
Spartanburg, SC 29307
Phone (864) 542-8714

810 Travelers Blvd
Ste G2
Summerville, SC 29485
Phone (843) 851-3126

Practitioners & affiliated clinicians

Practitioners 64

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 64

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1689912495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10984",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297310984",
            "telephone_number": "844-628-2273",
            "fax_number": "803-372-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304273",
            "telephone_number": "803-818-6955",
            "fax_number": "803-818-6993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806707",
            "country_code": "US",
            "telephone_number": "864-881-8777",
            "fax_number": "864-757-9484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "803-372-5884"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.