Active NPI
Janice Marie Neuner, D.O.
- Family Medicine Physician
- Sumter, SC
National Provider Identifier
1801820063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210
- Practice address
- 1278 N Lafayette Dr
Sumter, SC 29150-2964 - Phone
- (803) 774-4500
- Fax
- (803) 774-4627
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 210 | SC | Primary |
Addresses
Primary practice location
1278 N Lafayette Dr
Sumter, SC 29150-2964
Mailing address
1275 N Lafayette Dr
Sumter, SC 29150-2915
Phone (803) 774-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002106 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210 | SC | MD | Physical Therapy Assistant |
Interoperability endpoints
- janice.neuner.1@14320.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1801820063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 N LAFAYETTE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502915",
"telephone_number": "803-774-4500",
"fax_number": "803-774-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 N LAFAYETTE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502964",
"telephone_number": "803-774-4500",
"fax_number": "803-774-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUNER",
"first_name": "JANICE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002106",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.