NPIMap

Organization Active NPI

St James Health and Wellness Inc

  • Federally Qualified Health Center (FQHC)
  • Andrews, SC
National Provider Identifier
1942979463
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ST JAMES HEALTH AND WELLNESS INC
Practice address
12890 County Line Rd
Andrews, SC 29510-6877
Phone
(843) 887-3274
Fax
(843) 887-3817
NPI assigned
Sep 8, 2021
Organization subpart
Yes
Parent organization
ST JAMES SANTEE FAMILY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Sandra D Gilliard
Title
Ceo
Phone
(843) 887-3274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

12890 County Line Rd
Andrews, SC 29510-6877

Mailing address

PO Box 608
MC Clellanville, SC 29458-0608
Phone (843) 887-3274

Other names 1

  • Andrews High School - SBHC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.stjamessanteefhc.com Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2242558St James Health and Wellness / Andrews12890 County Line Road, Andrews, SC 29510Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
St James-Santee Family Heal9 organizations share this tax ID, including this one
Part of
St James-Santee Family Heal

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1942979463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294580608",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 COUNTY LINE RD",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295106877",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES HEALTH AND WELLNESS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JAMES SANTEE FAMILY HEALTH CENTER INC",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-887-3274"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.stjamessanteefhc.com",
            "affiliation": "N",
            "endpointDescription": "www.stjamessanteefhc.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "records",
            "address_1": "12890 County Line Rd",
            "city": "Andrews",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295106877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Andrews High School - SBHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andrews High School - SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andrews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.