Organization Active NPI

Kershaw County Medical Center

  • Pediatrics Physician
  • Lugoff, SC
National Provider Identifier
1922099522
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KERSHAW COUNTY MEDICAL CENTER
Practice address
1165 Highway 1 S
Suite 200
Lugoff, SC 29078-8966
Phone
(803) 408-0225
NPI assigned
Nov 2, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Donnie J Weeks
Title
Ceo
Phone
(803) 713-6227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1165 Highway 1 S
Suite 200
Lugoff, SC 29078-8966

Mailing address

1165 Highway 1 S
Suite 200
Lugoff, SC 29078-8966
Phone (803) 408-0225

Other names 1

  • Apex Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Kershaw County Medical Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1922099522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 HIGHWAY 1 S",
            "address_2": "SUITE 200",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788966",
            "telephone_number": "803-408-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 HIGHWAY 1 S",
            "address_2": "SUITE 200",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788966",
            "telephone_number": "803-408-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-713-6227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lugoff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.