Organization Active NPI

Five Feathers Management Group, LLC

Doing business as Bamberg Medical Group

  • Family Medicine Physician
  • Bamberg, SC
National Provider Identifier
1740101260
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIVE FEATHERS MANAGEMENT GROUP, LLC
Doing business as
Bamberg Medical Group
Practice address
450 North St
Bamberg, SC 29003-1318
Phone
(803) 664-1311
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Mr. Ronald Q Maxwell
Title
Owner
Phone
(803) 664-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

450 North St
Bamberg, SC 29003-1318

Mailing address

450 North St
Bamberg, SC 29003-1318
Phone (803) 664-1311

Other names 1

  • Bamberg Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

450 North St
Bamberg, SC 29003
Phone (803) 245-5168

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1740101260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031318",
            "telephone_number": "803-664-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031318",
            "telephone_number": "803-664-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE FEATHERS MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-664-1311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bamberg Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bamberg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.