Conway Internists, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4459 Issued in SC

Legal business name

CONWAY INTERNISTS, P.A.

Practice address

8002 Myrtle Trace Dr.
Conway, SC 29526

Phone

(843) 347-7227

NPI assigned

Oct 17, 2006

Last updated

Nov 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles W. Johnson Jr., M.D.

Title

Medical Doctor

Phone

(843) 347-7227

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Camille B Mills, MD

  • Internal Medicine Physician
  • Conway, SC
  • NPI 1902989981
  NPD
• Charles G Sasser, MD

  • Internal Medicine Physician
  • Conway, SC
  • NPI 1669555736
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1952482952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 MYRTLE TRACE DR.",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 MYRTLE TRACE DR.",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY INTERNISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "843-347-7227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "4459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA7901",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1323",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway Hospital, Inc. (CMC Digestive Health)
• Conway Hospital, Inc. (CMC Infectious Diseases)
• Conway Hospital, Inc. (CMC Pediatrics Church Street)
• Conway Hospital, Inc. (CMC Women's Health Conway)
• Conway Hospital, Inc. (CMC Cardiac Care)
• Conway Manor, LLC
• Conway Obstectrics and Gynecology
• Conway Pediatrics,PA
• Conway Pharmacy LLC
• Conway Podiatry Center PC

• Internal Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.