Stat.MD, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STAT.MD, LLC

Practice address

3993 Meeting Street
Loris, SC 29569-3053

Phone

(843) 756-3008

Fax

(843) 756-3128

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Harry Nickey Gore Jr.

Title

Coo

Phone

(843) 756-3008

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1881085918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MILLER RD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284639266",
            "telephone_number": "910-840-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 MEETING STREET",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693053",
            "telephone_number": "843-756-3008",
            "fax_number": "843-756-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT.MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "NICKEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-756-3008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Thompson Spivey, NURSE PRACTITIONER
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• Karen L. Staples, FNP
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• Sherrie Lee Stramara
• Strand Regional Specialty
• Tiffany Dee Strickland

• Community/Behavioral Health Agency in Loris, SC
• Providers in Loris, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.