Organization Active NPI

Carolina Preventive Medicine Assoc Inc

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1710095468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA PREVENTIVE MEDICINE ASSOC INC
Practice address
234 Seven Farms Drive
Suite 125
Charleston, SC 29492
Phone
(843) 284-5300
Fax
(843) 284-5301
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Wingfield, MDNPI 1023042934
Title
President
Phone
(843) 284-5300

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

234 Seven Farms Drive
Suite 125
Charleston, SC 29492

Mailing address

234 Seven Farms Drive
Suite 125
Charleston, SC 29492
Phone (843) 284-5300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710095468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SEVEN FARMS DRIVE",
            "address_2": "SUITE 125",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "843-284-5300",
            "fax_number": "843-284-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SEVEN FARMS DRIVE",
            "address_2": "SUITE 125",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "843-284-5300",
            "fax_number": "843-284-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PREVENTIVE MEDICINE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-284-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.