Beaufort Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BEAUFORT INTERNAL MEDICINE LLC

Practice address

10A Marshellen Dr
Beaufort, SC 29902-6900

Phone

(843) 379-9025

Fax

(843) 525-9020

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Randy S Kinnard, MDNPI 1407084916

Title

Physician/Owner

Phone

(843) 379-9025

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.

• Randy S Kinnard, MD

  • Internal Medicine Physician
  • Beaufort, SC
  • NPI 1407084916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1891401147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10A MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-379-9025",
            "fax_number": "843-525-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10A MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-379-9025",
            "fax_number": "843-525-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "KINNARD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "843-379-9025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaufort Family Care, LLC
• Beaufort Family Dentistry VSM LLC
• Beaufort Family Medicine PA
• Beaufort Family Medicine, PA
• Beaufort Gastroenterology
• Beaufort Jasper Hampton Comprehensive Health Services, Inc
• Beaufort Medical Equipment Inc
• Beaufort Medical Imaging Inc
• Beaufort Memorial Hospital - Navy Resource Sharing
• Beaufort OB/GYN Associates PA

• Internal Medicine Physician in Beaufort, SC
• Providers in Beaufort, 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 Jan 30, 2023; 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.