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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 13832
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138327 | Medicaid | SC |
Other names 1
- Carolina Sports Medicine and Orthopedic Clinic
National Provider Directory
National Provider DirectoryLocations
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
- Roy Woodley Furr Jr., M.D.
- Gaffney Children's Clinic PA
- Gaffney Emergency Group PC
- Gaffney Hma Inc (Upstate Carolina Medical Center)
- Gaffney Hma LLC (Mary Black Health System Gaffney)
- Gaffney Hma Physician Management, LLC
- Gaffney Physician Services PC
- Gaffney PPM, LLC
- Gaffney Spine & Health Inc
- Gaffney Urgent Care
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.