Priyan Samarakoon PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

SC - MD 28542 Issued in SC

Legal business name

PRIYAN SAMARAKOON PLLC

Practice address

200 North Main Street
Clio, SC 29525

Phone

(843) 586-2292

Fax

(843) 306-4622

NPI assigned

Dec 17, 2010

Last updated

Dec 17, 2010By 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

Priyan Samarakoon, MDNPI 1356395941

Title

Member

Phone

(910) 534-4434

Specialties & licenses 6

Addresses

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.

• Priyan Samarakoon, MD

  • Pulmonary Disease Physician
  • Cary, NC
  • NPI 1356395941

  Critical Care Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1851694517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 FAIRWAY DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283527958",
            "telephone_number": "910-534-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH MAIN STREET",
            "city": "CLIO",
            "state": "SC",
            "postal_code": "29525",
            "telephone_number": "843-586-2292",
            "fax_number": "843-306-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYAN SAMARAKOON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "SAMARAKOON",
        "authorized_official_first_name": "PRIYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-534-4434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NC",
            "license": "NC - 2009-01120",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "SC - MD 28542",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "NC - 2009-01120",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "SC - MD 28542",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "SC - MD 28542",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "NC - 2009-01120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia McCollum, LMT
• Ronald Jerome McLaughlin
• Pravin R Patel, MD
• Rima Patel, MD
• Pravin R Patel MD. (Clio Medical Center)
• Sincere Care LLC
• U-Reaach, LLC

• Pulmonary Disease Physician in Clio, SC
• Providers in Clio, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.