Mill Street Medical Associates, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15151 Issued in SC

Legal business name

MILL STREET MEDICAL ASSOCIATES, LLP

Practice address

1113 Mill St
Camden, SC 29020-3763

Phone

(803) 432-3379

NPI assigned

Aug 18, 2006

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen H Lane

Title

Billing

Phone

(803) 432-3379

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy E Smith, MD

  • Addiction Medicine (Family Medicine) Physician
  • Yreka, CA
  • NPI 1245287291
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1831203918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203763",
            "telephone_number": "803-432-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203763",
            "telephone_number": "803-432-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL STREET MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "803-432-3379"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15151",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "3592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4375",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical University Hospital Authority (MUSC Health Senior Retreat)
• Medical University Hospital Authority (MUSC Health Kershaw Medical Center)
• Sheresa S. Melvin, LPC-I
• Germaine Middleton, LPC
• Midlands Anesthesia Company, LLC
• Larissa Miller
• Hailey Mills
• Mindfulco Inc
• Lauren T Mitchum, MSW
• Modificare LLC (Medi-Save Pharmacy)

• Family Medicine Physician in Camden, SC
• Providers in Camden, 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 Oct 10, 2007; 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.