Organization Active NPI

Sumter Family Medicine Associates, P.a.

  • Family Medicine Physician
  • Sumter, SC
National Provider Identifier
1902846595
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUMTER FAMILY MEDICINE ASSOCIATES, P.A.
Practice address
738 W Liberty St Ste a
Sumter, SC 29150-4745
Phone
(803) 775-6374
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. James Roper Ingram, M.D.
Title
President, P.a.
Phone
(803) 775-6374

Specialties & licenses 1

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

Addresses

Primary practice location

738 W Liberty St Ste a
Sumter, SC 29150-4745

Mailing address

738 W Liberty St Ste a
Sumter, SC 29150-4745
Phone (803) 775-6374

Other identifiers 1

IdentifierTypeStateIssuer
GP0254MedicaidSC

Other names 1

  • Sumter Family Medicine, PA Doing business as

National Provider Directory

National Provider Directory

Locations

738 W Liberty St
Sumter, SC 29150
Phone (803) 757-1744

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1902846595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 W LIBERTY ST STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504745",
            "telephone_number": "803-775-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 W LIBERTY ST STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504745",
            "telephone_number": "803-775-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER FAMILY MEDICINE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROPER",
        "authorized_official_title_or_position": "PRESIDENT, P.A.",
        "authorized_official_telephone_number": "803-775-6374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "GP0254",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumter Family Medicine, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.