Direct Access MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIRECT ACCESS MD, LLC

Practice address

803 N Fant St Ste 2a
Anderson, SC 29621-5718

Phone

(864) 965-9150

Fax

(864) 965-9654

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy R Cianciolo, MDNPI 1629095062

Title

Medical Director

Phone

(864) 965-9150

Specialties & licenses 1

Addresses

Locations

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.

• Amy R Cianciolo, MD

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1629095062
  Authorized official Same address or phone

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1740760560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N FANT ST STE 2A",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215718",
            "telephone_number": "864-965-9150",
            "fax_number": "864-965-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FANT ST STE 2A",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215718",
            "telephone_number": "864-965-9150",
            "fax_number": "864-965-9654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Pearman Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296252617",
            "country_code": "US",
            "telephone_number": "864-540-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIRECT ACCESS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "CIANCIOLO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-965-9150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Baier Diehl, FNP-BC
• Kemeako Dillard
• Ashley Dillingham, MS, RD, LD
• Zia U Din, MD
• Sherilyn Bermudez Diomampo
• Discovery Center for Life Skills, LLC
• Elizabeth J Divver, MSW
• Dixon Powers Drugs
• Angela Miller Dixon, D.C.
• Carl Max Dixon Jr., D.C.

• Family Medicine Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.