CMP Senior Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CMP SENIOR HEALTHCARE LLC

Practice address

1040 Edgewater Corporate Pkwy Ste 104
Fort Mill, SC 29707-4526

Phone

(803) 547-8660

Fax

(803) 650-3880

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINA MEDICAL PARTNERS PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Nimish Patel, MDNPI 1710141668

Title

Owner

Phone

(803) 547-8660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

Carolina Medical Partners PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carolina Medical Partners PLLC

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1902411077
  NPPES parent name

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.

• Nimish Kantilal Patel, MD

  • Family Medicine Physician
  • Indian Land, SC
  • NPI 1710141668

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Shephali Nimish Patel, M.D.

  • Family Medicine Physician
  • Indian Land, SC
  • NPI 1538386610
  Medicare reassignment Care Compare group NPD
• Andrea Blakeman, APRN

  • Community Health Nurse Practitioner
  • Rock Hill, SC
  • NPI 1053954438
  Medicare reassignment NPD
• Megan Blackwelder Keener, NP

  • Family Nurse Practitioner
  • Indian Land, SC
  • NPI 1316607583
  Medicare reassignment NPD
• Heather Elizabeth Shiflett, PA-C

  • Physician Assistant
  • Fort Mill, SC
  • NPI 1619901568
  Medicare reassignment

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1891420857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 FLENNIGAN WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-547-8660",
            "fax_number": "803-650-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMP SENIOR HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA MEDICAL PARTNERS PLLC",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-547-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark and Jackson PD, LLC
• Ashley E Clark, PT
• Katherine Elizabeth Clark, DMD
• Nicola Marie Clarke, NP
• Close to Home Teen & Family SVCS
• Victor Cunha Coelho, MD
• Cognitions Counseling LLC
• Jeffrey Cole
• Heidi Lynn Coleman, PTA
• Paul Ronald Coleman, PHARMD

• Family Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.