Active NPI
Modern Concepts, LLC
- General Practice Physician
- Fort Mill, SC
National Provider Identifier
1841704244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MODERN CONCEPTS, LLC
- Practice address
- 1808 Second Baxter Xing Ste 108
Fort Mill, SC 29708 - Phone
- (803) 802-2225
- NPI assigned
- Nov 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Jones
- Title
- President
- Phone
- (803) 579-8441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1808 Second Baxter Xing Ste 108
Fort Mill, SC 29708
Mailing address
1808 Second Baxter Xing Ste 108
Fort Mill, SC 29708-6437
Phone (803) 802-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Nurse Practitioner
- Fort Mill, SC
- NPI 1568942696
-
- Chiropractor
- Fort Mill, SC
- NPI 1336116649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1841704244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SECOND BAXTER XING STE 108",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086437",
"telephone_number": "803-802-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 SECOND BAXTER XING STE 108",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29708",
"telephone_number": "803-802-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN CONCEPTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-21",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-579-8441"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.