Organization Active NPI

Pee Dee Internal Medicine

  • Rheumatology Physician
  • Florence, SC
National Provider Identifier
1881622819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PEE DEE INTERNAL MEDICINE
Practice address
514 S Dargan St
Suite G
Florence, SC 29506-2552
Phone
(843) 667-8561
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon H Docherty Sr., MD
Title
President
Phone
(843) 667-8561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

514 S Dargan St
Suite G
Florence, SC 29506-2552

Mailing address

514 S Dargan St
Suite G
Florence, SC 29506-2552
Phone (843) 667-8561

National Provider Directory

National Provider Directory

Locations

514 S Dargan St
Ste G
Florence, SC 29506
Phone (843) 667-8561

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881622819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S DARGAN ST",
            "address_2": "SUITE G",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062552",
            "telephone_number": "843-667-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S DARGAN ST",
            "address_2": "SUITE G",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062552",
            "telephone_number": "843-667-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOCHERTY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-667-8561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.