St Francis Physician Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST FRANCIS PHYSICIAN SERVICES INC

Doing business as

Milestone Family Medicine

Practice address

12 Arborland Way
Greenville, SC 29615-2201

Phone

(864) 297-6010

Fax

(864) 458-7673

NPI assigned

May 11, 2006

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ST FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

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

Authorized official

Name

Wilbur R Gay III

Title

Vice President of Finance-BSMG

Phone

(864) 605-3762

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milestone Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

Carolina Orthopaedic Center

Practitioners 1

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.

• Sushil Chander Mittal, M.D.

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1679533491
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1932159761",
    "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": "864-297-6010",
            "fax_number": "864-458-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ARBORLAND WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152201",
            "telephone_number": "864-297-6010",
            "fax_number": "864-458-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE-BSMG",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4623",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Francis Physician Services Inc (Wellspring Primary Care)
• St Francis Physician Services Inc (Piedmont Spine & Neurosurgical Group)
• St Francis Physician Services Inc (Bon Secours Family Medical Center)
• St Francis Physician Services Inc (Bon Secours Covenant Primary Care)
• St Francis Physician Services Inc (Carolina Orthopaedic Center)
• St Francis Physician Services Inc (Internal Medicine and Diagnostic Group)
• St Francis Physician Services Inc (Bon Secours Piedmont Orthopedics)
• St Francis Physician Services Inc (Bon Secours Hematology and Oncology)
• St Francis Physician Services Inc (Upstate Maternal-Fetal Medicine)
• St Francis Physicians Services Inc (St Francis Cardiovascular)

• Family Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.