NPIMap

Organization Active NPI

St Francis Physician Services Inc

  • Family Medicine Physician
  • Travelers Rest, SC
National Provider Identifier
1770543100
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Practice address
406 N Poinsett Hwy
Travelers Rest, SC 29690-1667
Phone
(864) 834-4151
Fax
(864) 834-6145
NPI assigned
Mar 28, 2006
Organization subpart
Yes
Parent organization
ST FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Wilbur R Gay III
Title
Cfo
Phone
(864) 605-3762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X SC Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

406 N Poinsett Hwy
Travelers Rest, SC 29690-1667

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 834-4151

Other identifiers 1

IdentifierTypeStateIssuer
GP2984MedicaidSC

Other names 1

  • Gateway Family Medicine of Travelers Rest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000259 SC Part B Supplier - Clinic/Group Practice 6608826821 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0253277Gateway Family Medicine406 North Poinsett Hwy, Travelers Rest, SC 29690Provider-performed microscopyDec 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
The OBGYN Group of Greenville39 organizations share this tax ID, including this one
Part of
The OBGYN Group of Greenville

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1770543100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-834-4151",
            "fax_number": "864-834-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N POINSETT HWY",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901667",
            "telephone_number": "864-834-4151",
            "fax_number": "864-834-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2984",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Family Medicine of Travelers Rest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Family Medicine of Travelers Rest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.