NPIMap

Organization Active NPI

Colleton Medical Hospitalists LLC

  • Hospitalist Physician
  • Walterboro, SC
National Provider Identifier
1942245246
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
COLLETON MEDICAL HOSPITALISTS LLC
Practice address
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone
(843) 782-2000
Fax
(843) 549-6254
NPI assigned
Jun 19, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WALTERBORO COMMUNITY HOSPITAL, INC. D/B/A COLLETON MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Mr. H H Thompson
Title
Chief Financial Officer
Phone
(843) 782-2720

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Pediatric Nurse Practitioner 363LP0200X
Pediatrics Physician 208000000X
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

501 Robertson Blvd
Walterboro, SC 29488-2787

Mailing address

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

National Provider Directory

National Provider Directory
Part of
Jeffery a Holman MD

Locations

403 Swanson Dr
Lawrenceville, GA 30043

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1942245246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882787",
            "telephone_number": "843-782-2000",
            "fax_number": "843-549-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882787",
            "telephone_number": "843-782-2000",
            "fax_number": "843-549-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETON MEDICAL HOSPITALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTERBORO COMMUNITY HOSPITAL, INC. D/B/A COLLETON MEDICAL CENTER",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "843-782-2720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.