Active NPI
Medical Associates of Rock Hill
- Family Medicine Physician
- Rock Hill, SC
National Provider Identifier
1891726477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL ASSOCIATES OF ROCK HILL
- Practice address
- 2450 India Hook Rd
Suite B
Rock Hill, SC 29732-3270 - Phone
- (803) 328-0181
- Fax
- (803) 328-0553
- NPI assigned
- Jul 5, 2006
- Organization subpart
- Yes
- Parent organization
- MEDICAL ASSOCIATES OF ROCK HILL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- Senior Vice President
- Phone
- (704) 631-0002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2450 India Hook Rd
Suite B
Rock Hill, SC 29732-3270
Mailing address
PO Box 60099
Charlotte, NC 28260-0099
Phone (803) 328-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2096 | Medicaid | SC |
National Provider Directory
National Provider Directory- Part of
- Medical Assoc of Rock H
Locations
704 Gold Hill Rd
Ste 130
Fort Mill, SC 29715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470960000000",
"number": "1891726477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60099",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600099",
"telephone_number": "803-328-0181",
"fax_number": "803-328-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 INDIA HOOK RD",
"address_2": "SUITE B",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323270",
"telephone_number": "803-328-0181",
"fax_number": "803-328-0553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF ROCK HILL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF ROCK HILL",
"enumeration_date": "2006-07-05",
"last_updated": "2016-08-12",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "FORD",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "704-631-0002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA2096",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.