Primary Choice Medical, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0342 Issued in SC

Legal business name

PRIMARY CHOICE MEDICAL, PA

Practice address

9 Buena Vista Way
Greenville, SC 29615-6621

Phone

(864) 990-1825

Fax

(864) 284-0856

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ronald S Phillips, DONPI 1154388874

Title

President

Phone

(864) 990-1825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald S Phillips, DO

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1154388874
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1891078606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BUENA VISTA WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156621",
            "telephone_number": "864-990-1825",
            "fax_number": "864-284-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BUENA VISTA WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156621",
            "telephone_number": "864-990-1825",
            "fax_number": "864-284-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CHOICE MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-990-1825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Price, CPNP-AC
• Stephen Wayne Price, M.D.
• Vickie Price
• Heather Priddy
• Amanda Pridgen, RBT
• Primarymd
• Prime Screening Solutions
• Stephanie Prince Mitchell
• Abbey Louise Princell, PA-C
• Mark H Princell, MD

• Internal Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.