Metrolyna Health Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20627 Issued in SC

Legal business name

METROLYNA HEALTH CARE LLC

Doing business as

Heath Springs Medical Center

Practice address

209 South College Street
Heath Springs, SC 29058

Phone

(803) 273-4018

Fax

(803) 273-4023

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ifediora Foster Afulukwe, MDNPI 1417912932

Title

Medical Director

Phone

(803) 273-4018

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Heath Springs Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBJHAD

Practitioners 3

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

• Ifediora Foster Afulukwe, MD

  • Internal Medicine Physician
  • Heath Springs, SC
  • NPI 1417912932
  Medicare reassignment NPD Authorized official
• Clarence Campbell III, FNP

  • Family Nurse Practitioner
  • Heath Springs, SC
  • NPI 1811448194
  Medicare reassignment NPD
• Chukwuma S Ogugua, MD

  • Pulmonary Disease Physician
  • Bemidji, MN
  • NPI 1326086968
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1780761684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49089",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770073",
            "telephone_number": "803-273-4018",
            "fax_number": "803-273-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SOUTH COLLEGE STREET",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "29058",
            "telephone_number": "803-273-4018",
            "fax_number": "803-273-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLYNA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "AFULUKWE",
        "authorized_official_first_name": "IFEDIORA",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-273-4018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "SC",
            "license": "MD20627",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "20627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2762",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heath Springs Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M Decillis, D.D.S.
• Heath Springs Dental Associates, P.a.
• Mollie Annette Hendrix, ATC
• Hsrcc Services, LLC (Heath Springs Residential Care Center)
• Stephen Lewis McDaniel
• Christopher B Phillips, D.M.D.
• Jami Hinson Pritchard, PHARMD
• A'Yana Seegars
• Yevonne Walker Thompson
• Courtney Starr Truesdale

• Primary Care Clinic/Center in Heath Springs, SC
• Providers in Heath Springs, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.