Waterway Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WATERWAY FAMILY MEDICINE, PA

Practice address

3600 Sea Mountain Hwy.
Suite C
Little River, SC 29566-7640

Phone

(843) 399-4848

Fax

(843) 756-6059

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Buffkin

Title

Insurance Clerk

Phone

(843) 756-5300

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen D. Grubb, MD

  • Family Medicine Physician
  • Little River, SC
  • NPI 1689672784
  NPD

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760481758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 CASEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692903",
            "telephone_number": "843-756-5300",
            "fax_number": "843-756-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SEA MOUNTAIN HWY.",
            "address_2": "SUITE C",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667640",
            "telephone_number": "843-399-4848",
            "fax_number": "843-756-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERWAY FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUFFKIN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "843-756-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1062",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "890291H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM7718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0291H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walker Urgent & Family Care, LLC
• Les A Walker, D.C.
• Rogers Smith Walker Sr., M.D.
• Christopher Peter Walsh, M.D.
• Morris J Washington III, M.D.
• Waterway Pharmacy LLC
• Waterway Pharmacy LLC
• Waterway Primary Care,LLC
• Christa Lanae Wentt, MD
• Cheryl Ann Werba

• Family Medicine Physician in Little River, SC
• Providers in Little River, 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 Jul 21, 2022; 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.