Active NPI
Constance Lynne Belissary Maroney, MD
- Internal Medicine Physician
- Florence, SC
National Provider Identifier
1821293093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28803
- Practice address
- 101 South Ravenel Street
Suite 120
Florence, SC 29506-2610 - Phone
- (843) 777-7341
- Fax
- (843) 777-7345
- NPI assigned
- Jun 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28803 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 0101239343 | VA |
Addresses
Primary practice location
101 South Ravenel Street
Suite 120
Florence, SC 29506-2610
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071 | Other | SC | BCBS |
Other names 1
- Miss Constance Lynne Belissary
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239343 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Care, PA | Past | Accepting new patients |
Interoperability endpoints
- cbelissarymaroney41152@directmcleodehealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1366499048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1821293093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7341",
"fax_number": "843-777-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTH RAVENEL STREET",
"address_2": "SUITE 120",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062610",
"telephone_number": "843-777-7341",
"fax_number": "843-777-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARONEY",
"first_name": "CONSTANCE LYNNE",
"middle_name": "BELISSARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "28803",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101239343",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "071",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONSTANCE",
"last_name": "BELISSARY",
"middle_name": "LYNNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.