Organization Active NPI

Pickens Healthcare Management, LLC

  • Family Medicine Physician
  • Seneca, SC
National Provider Identifier
1710320965
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PICKENS HEALTHCARE MANAGEMENT, LLC
Practice address
555 Bypass Highway 123
Suite C
Seneca, SC 29678-0809
Phone
(864) 888-0039
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Michael Pickens, D.C.
Title
Cheif Executive Officer
Phone
(864) 888-0039

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X SC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X SC Primary

Addresses

Primary practice location

555 Bypass Highway 123
Suite C
Seneca, SC 29678-0809

Mailing address

555 Bypass Highway 123
Suite C
Seneca, SC 29678-0809
Phone (864) 888-0039

National Provider Directory

National Provider Directory

Locations

555 Bypass Highway 123
Ste C
Seneca, SC 29678
Phone (864) 882-7600

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": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1710320965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BYPASS HIGHWAY 123",
            "address_2": "SUITE C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780809",
            "telephone_number": "864-888-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BYPASS HIGHWAY 123",
            "address_2": "SUITE C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780809",
            "telephone_number": "864-888-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS HEALTHCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "864-888-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.