Medexpress Primary Care South Carolina, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.

Doing business as

Michelin Health Ctr - Anderson Hub

Practice address

955 Boscobel Rd
Anderson, SC 29625-6704

Phone

(864) 375-0893

Fax

(864) 375-0894

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By 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

Brett Gall

Title

Director Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other names 1

• Michelin Health Ctr - Anderson Hub Doing business as

Locations

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1902364680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BOSCOBEL RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296256704",
            "telephone_number": "864-375-0893",
            "fax_number": "864-375-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DIRECTOR PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelin Health Ctr - Anderson Hub",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lena Means
• Med Central Health Resources, Inc
• Med-Trans Corporation
• Medcare Urgent Care Center - Anderson LLC
• Medexpress Primary Care South Carolina, P.C. (Anderson Michelin Family Health Center)
• Medical Associates of Anderson,PC
• Medlife Internal Medicine and Primary Care, LLC (Medlife Im-PCP)
• Medshore Ambulance Service, LLC (Guardian Ambulance)
• John Thomas Meehan, M. D., M. S.
• Veronica Lynnette Meekins

• General Practice Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.