Pri-Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23570 Issued in SC

Legal business name

PRI-CARE INC

Practice address

1795 Frank Gaston Blvd
Rock Hill, SC 29732-1190

Phone

(803) 524-1821

Fax

(704) 380-9117

NPI assigned

Jun 18, 2017

Organization subpart

No

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

Authorized official

Name

Tolulola O. Adeola, MDNPI 1578582797

Title

Ceo

Phone

(803) 524-1821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Tolulola Omololu Adeola, MD

  • Hospitalist Physician
  • North Wilkesboro, NC
  • NPI 1578582797

  Internal Medicine, SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1700316106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 HECKLE BLVD STE 103-303",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324803",
            "telephone_number": "803-524-1821",
            "fax_number": "704-380-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 FRANK GASTON BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321190",
            "telephone_number": "803-524-1821",
            "fax_number": "704-380-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI-CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "ADEOLA",
        "authorized_official_first_name": "TOLULOLA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-524-1821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premium Medical Supply LLC
• Toben F. Presler, BCABA
• Pride Eyecare PA
• Primary Medical Association, P.a.
• Primelabs Testing and Screening, LLC
• Laurina Pritchard, MSN, APRN, CPNP-PC
• Professional Home Care Solutions

• Internal Medicine Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.