Organization Active NPI

St Francis Physician Services Inc

Doing business as Powdersville Family Practice

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1891722666
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Doing business as
Powdersville Family Practice
Practice address
10701 Anderson Rd
Easley, SC 29642-9309
Phone
(864) 295-2500
Fax
(864) 295-2506
NPI assigned
Jun 27, 2006
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ST FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Wilbur R Gay
Title
Cfo
Phone
(864) 605-3762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10701 Anderson Rd
Easley, SC 29642-9309

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 295-2500

Other names 1

  • Powdersville Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000259 SC Part B Supplier - Clinic/Group Practice 6608826821 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0665587Powdersville Family Practice10701 Anderson Road, Easley, SC 29642Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Francis Physician Services Inc39 organizations share this tax ID, including this one
Part of
St Francis Physician Services Inc

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

910 N Main St
Fountain Inn, SC 29644
Phone (864) 967-4982

124 Verdae Blvd
Ste 400
Greenville, SC 29607

135 Commonwealth Dr
Ste 100
Greenville, SC 29615
Phone (864) 365-0200

2 Innovation Dr
Ste 400
Greenville, SC 29607
Phone (864) 235-7665

3 Saint Francis Dr
Greenville, SC 29601
Phone (864) 255-1800

3 Saint Francis Dr
Ste 330
Greenville, SC 29601
Phone (864) 255-1834

3 Saint Francis Dr
Ste 360
Greenville, SC 29601
Phone (864) 233-4349

317 Saint Francis Dr
Ste 125
Greenville, SC 29601
Phone (864) 255-1304

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

317 Saint Francis Dr
Ste 250
Greenville, SC 29601
Phone (864) 241-5199

317 Saint Francis Dr
Ste 310
Greenville, SC 29601
Phone (864) 233-2744

801 Roper Creek Dr
Greenville, SC 29615
Phone (864) 516-1170

3115D Brushy Creek Rd
Greer, SC 29650
Phone (864) 877-4221

319 S Buncombe Rd
Greer, SC 29650
Phone (864) 234-5858

107 Fairview Pointe Dr
Simpsonville, SC 29681

114A Hospital Dr
Simpsonville, SC 29681
Phone (864) 228-1168

126 Fairview Pointe Dr
Simpsonville, SC 29681

3970 Grandview Dr
Ste 2200
Simpsonville, SC 29680
Phone (864) 963-8002

404 SE Main St
Simpsonville, SC 29681
Phone (864) 228-1168

408 SE Main St
Simpsonville, SC 29681
Phone (864) 228-8010

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1891722666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-295-2500",
            "fax_number": "864-295-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 ANDERSON RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429309",
            "telephone_number": "864-295-2500",
            "fax_number": "864-295-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-605-3762"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powdersville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Powdersville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.