NPIMap

Organization Active NPI

Sumter Pediatrics, P.a.

  • Pediatrics Physician
  • Sumter, SC
National Provider Identifier
1871593749
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUMTER PEDIATRICS, P.A.
Practice address
237 Church St
Sumter, SC 29150-4202
Phone
(803) 775-6311
Fax
(803) 778-5131
NPI assigned
Jul 21, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Timothy L Key, M.D.NPI 1871593707
Title
Treasurer
Phone
(803) 775-6311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X SC Primary

Addresses

Primary practice location

237 Church St
Sumter, SC 29150-4202

Mailing address

237 Church St
Sumter, SC 29150-4202
Phone (803) 775-6311

Other identifiers 1

IdentifierTypeStateIssuer
PA1051MedicaidSC

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIDGAD

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871593749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CHURCH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504202",
            "telephone_number": "803-775-6311",
            "fax_number": "803-778-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CHURCH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504202",
            "telephone_number": "803-775-6311",
            "fax_number": "803-778-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "803-775-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1051",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.