Active NPI
Physician Services Group of South Carolina
- Skilled Nursing Facility
- Piedmont, SC
National Provider Identifier
1740107325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PHYSICIAN SERVICES GROUP OF SOUTH CAROLINA
- Practice address
- 109 Bentz Rd
Piedmont, SC 29673-1412 - Phone
- (864) 845-5177
- NPI assigned
- Jul 2, 2026
- 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
- Charity Dawn Fitzsimmons, DNP, APRN, FNP-C
- Title
- Nurse Practitioner
- Phone
- (817) 914-4686
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
109 Bentz Rd
Piedmont, SC 29673-1412
Mailing address
312 Summerall Dr
Anderson, SC 29621-3697
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Piedmont, SC
- NPI 1649199928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1740107325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SUMMERALL DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BENTZ RD",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296731412",
"telephone_number": "864-845-5177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN SERVICES GROUP OF SOUTH CAROLINA",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "FITZSIMMONS",
"authorized_official_first_name": "CHARITY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "817-914-4686",
"authorized_official_credential": "DNP, APRN, FNP-C"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piedmont, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.