Active NPI
John Price Booth, M.D.
- Family Medicine Physician
- Florence, SC
National Provider Identifier
1871565366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11079
- Practice address
- 523 S Dargan St
Florence, SC 29506-2549 - Phone
- (843) 679-4260
- Fax
- (843) 676-4264
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11079 | SC | Primary |
Addresses
Primary practice location
523 S Dargan St
Florence, SC 29506-2549
Mailing address
523 S Dargan St
Florence, SC 29506-2549
Phone (843) 679-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110793 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1871565366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 S DARGAN ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062549",
"telephone_number": "843-679-4260",
"fax_number": "843-676-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 S DARGAN ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062549",
"telephone_number": "843-679-4260",
"fax_number": "843-676-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "JOHN",
"middle_name": "PRICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "11079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110793",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.