Max Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAX PRIMARY CARE LLC

Doing business as

Serenity Health Care Solutions

Practice address

605 W Palmetto St
Florence, SC 29501-4301

Phone

(843) 942-9960

Fax

(843) 799-5088

NPI assigned

May 7, 2020

Last updated

Dec 13, 2024By 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

George Maxie Harrison III, APRN FNP-CNPI 1336590306

Title

Owner

Phone

(843) 942-9960

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• Serenity Health Care Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• George Maxie Harrison III, APRN NP-C

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1336590306
  Medicare reassignment Care Compare group NPD Authorized official
• Aran Colleen Ingham, FNP

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1265208185
  Medicare reassignment Care Compare group NPD
• Tammy Diana Barbour, APRN

  • Adult Health Nurse Practitioner
  • Florence, SC
  • NPI 1437065521
  NPD (past)
• Stephanie Necole Townsend, APRN-BC

  • Primary Care Nurse Practitioner
  • Florence, SC
  • NPI 1215173257
  NPD (past)
• Ryann Charisse Lee, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1962914101
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1891317228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CENTRAL RD",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291149773",
            "telephone_number": "843-616-3410",
            "fax_number": "802-400-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014301",
            "telephone_number": "843-942-9960",
            "fax_number": "843-799-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MAXIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-942-9960",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9651",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Health Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Karla Matthews, CRNA
• Nyisha Matthews
• Spencer Matthews
• Wilma L. Matthews, RN
• Maven Therapy LLC
• Gregory Arthur May, M.D.
• Natalie Nicole Maynard, LPN
• Tracy Maynard
• Clinton Mays
• James Perry Mazgaj, M.D.

• Primary Care Clinic/Center in Florence, SC
• Providers in Florence, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.