Carolina Family Practice P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10933 Issued in SC

Legal business name

CAROLINA FAMILY PRACTICE P A

Practice address

208 Swift Creek Rd
Hartsville, SC 29550-4383

Phone

(843) 383-0770

Fax

(843) 383-5856

NPI assigned

Oct 5, 2005

Last updated

Mar 6, 2015By 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. Kenneth C EvansNPI 1679573422

Title

MD/Owner

Phone

(843) 383-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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.

• Shari K Carter, FNP

  • Family Nurse Practitioner
  • Hartsville, SC
  • NPI 1457383317
  Medicare reassignment Care Compare group NPD
• Joseph Williamson Powell Jr., M.D.

  • Family Medicine Physician
  • Hartsville, SC
  • NPI 1255525820
  Medicare reassignment Care Compare group NPD
• Kenneth C Evans, M.D.

  • Family Medicine Physician
  • Hartsville, SC
  • NPI 1679573422
  Authorized official Same address or phone

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1760479620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SWIFT CREEK RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504383",
            "telephone_number": "843-383-0770",
            "fax_number": "843-383-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SWIFT CREEK RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504383",
            "telephone_number": "843-383-0770",
            "fax_number": "843-383-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY PRACTICE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "843-383-0770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caresouth Carolina, Inc.
• Caresouth Carolina, Inc.
• Caresouth Carolina, Inc. (CareFusion)
• Caring Hearts Pediatrics
• Kirsten Blythe Carlson, PA-C
• Carolina Mobility of Hartsville LLC (Carolina Mobility of Hartsville)
• Carolina Nephrology and Endocrinology, PC
• Carriage House Senior Living of Hartsville
• Shari K Carter, FNP
• Claudia Erin Cassell, OTR/L

• Family Medicine Physician in Hartsville, SC
• Providers in Hartsville, 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 Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.