NPIMap

Organization Active NPI

Umg Primary Care South Carolina, LLC

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1851747190
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UMG PRIMARY CARE SOUTH CAROLINA, LLC
Practice address
1023 Silver Bluff Road
Aiken, SC 29803
Phone
(803) 502-5515
Fax
(803) 502-5514
NPI assigned
May 5, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Julie Deason
Title
Director, Physician Revenue Cycle
Phone
(706) 774-8326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1023 Silver Bluff Road
Aiken, SC 29803

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

107 Walnut Ln Ste 101
North Augusta, SC 29860-8629
Phone (803) 202-7159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718002103 SC Part B Supplier - Clinic/Group Practice 0244523959 Receives reassigned benefits from 27 practitioners
Practice locations: Aiken, SC; North Augusta, SC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851747190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SILVER BLUFF ROAD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29803",
            "telephone_number": "803-502-5515",
            "fax_number": "803-502-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Walnut Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7159",
            "fax_number": "803-202-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UMG PRIMARY CARE SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DEASON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN REVENUE CYCLE",
        "authorized_official_telephone_number": "706-774-8326"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.