Alliance Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLIANCE MEDICAL GROUP

Practice address

2179 Ashley Phosphate Rd Ste B
North Charleston, SC 29406-4180

Phone

(843) 225-7317

Fax

(843) 225-7318

NPI assigned

Oct 13, 2011

Last updated

Apr 2, 2015By 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

Stephanie Leyva

Title

President

Phone

(843) 225-7317

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1871878595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 ASHLEY PHOSPHATE RD STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064180",
            "telephone_number": "843-225-7317",
            "fax_number": "843-225-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 ASHLEY PHOSPHATE RD STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064180",
            "telephone_number": "843-225-7317",
            "fax_number": "843-225-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-225-7317"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6340",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Allen, LPC
• Laura S Allen, SLP
• Patrick Allen, DPT
• Payton Allen
• Tabatha Deas Allen, BCBA
• Kyla Almeida
• Elizabeth Jones Almers, M.S.P. CCC-SLP
• Leigh Ann Alpert, MSR, CCC-SLP
• Alpha Medical
• Stephon Alston, BSW

• Family Medicine Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.