Organization Active NPI

Sumter Pediatrics, P.a.

  • Pediatrics Physician
  • Sumter, SC
National Provider Identifier
1962488817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUMTER PEDIATRICS, P.A.
Practice address
241 Church St
Sumter, SC 29150-4202
Phone
(803) 775-6311
Fax
(803) 778-5131
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janet A. Shumate, B.S.
Title
Administrator
Phone
(803) 775-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

241 Church St
Sumter, SC 29150-4202

Mailing address

241 Church St
Sumter, SC 29150-4202
Phone (803) 775-6311

National Provider Directory

National Provider Directory
Tax ID family
Sumter Pediatrics PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

241 Church St
Sumter, SC 29150
Phone (803) 775-6311

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962488817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CHURCH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504202",
            "telephone_number": "803-775-6311",
            "fax_number": "803-778-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CHURCH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504202",
            "telephone_number": "803-775-6311",
            "fax_number": "803-778-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-775-6311",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.