Organization Active NPI

Gaffney Hma Physician Management, Inc.

Doing business as Carolina Sports Medicine and Orthopedic Clinic

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Gaffney, SC
National Provider Identifier
1851575518
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
13832 Issued in SC
Legal business name
GAFFNEY HMA PHYSICIAN MANAGEMENT, INC.
Doing business as
Carolina Sports Medicine and Orthopedic Clinic
Practice address
104 Professional Park
Suite a
Gaffney, SC 29340-2319
Phone
(864) 488-3336
Fax
(864) 488-4439
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Stanley D. McLemore
Title
Sr. Vice President
Phone
(229) 598-3131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 13832 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X 13832 SC

Addresses

Primary practice location

104 Professional Park
Suite a
Gaffney, SC 29340-2319

Mailing address

104 Professional Park
Suite a
Gaffney, SC 29340-2319
Phone (864) 488-3336

Other identifiers 1

IdentifierTypeStateIssuer
138327MedicaidSC

Other names 1

  • Carolina Sports Medicine and Orthopedic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

104 Professional Park
Ste A
Gaffney, SC 29340
Phone (864) 488-3336

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1851575518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PROFESSIONAL PARK",
            "address_2": "SUITE A",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402319",
            "telephone_number": "864-488-3336",
            "fax_number": "864-488-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PROFESSIONAL PARK",
            "address_2": "SUITE A",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402319",
            "telephone_number": "864-488-3336",
            "fax_number": "864-488-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAFFNEY HMA PHYSICIAN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "229-598-3131"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "13832",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "13832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138327",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Sports Medicine and Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.