Active NPI
Global Family Medicine, LLC
- Family Medicine Physician
- Bluffton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17810
- Legal business name
- GLOBAL FAMILY MEDICINE, LLC
- Practice address
- 14 Oak Forest Rd
Ste D
Bluffton, SC 29910-4988 - Phone
- (843) 815-6468
- Fax
- (834) 815-6492
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gaston O. Perez, M.D. F.A.A.F.P.
- Title
- President
- Phone
- (843) 815-6468
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17810 | SC | Primary |
Addresses
Primary practice location
14 Oak Forest Rd
Ste D
Bluffton, SC 29910-4988
Mailing address
14 Oak Forest Rd
Suite D
Bluffton, SC 29910-4988
Phone (843) 815-6468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178104 | Medicaid | SC | |
| 7123 | Other | SC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Global Family Medicine LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Bluffton, SC
- NPI 1083991731
Locations
14 Oak Forest Rd
Ste C
Bluffton, SC 29910
14 Oak Forest Rd
Ste D
Bluffton, SC 29910
Phone (843) 815-6468
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Non-Pharmacy Dispensing Site
- Bluffton, SC
- NPI 1083991731
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bluffton, SC
- NPI 1629188586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337817600000",
"number": "1700995479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 OAK FOREST RD",
"address_2": "SUITE D",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104988",
"telephone_number": "843-815-6468",
"fax_number": "834-815-6492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 OAK FOREST RD",
"address_2": "STE D",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104988",
"telephone_number": "843-815-6468",
"fax_number": "834-815-6492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL FAMILY MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2012-05-24",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "GASTON",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-815-6468",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. F.A.A.F.P."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "17810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178104",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "7123",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.