Hilton Head Gastroenterology, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

HILTON HEAD GASTROENTEROLOGY, PA

Practice address

35 Bill Fries Dr
BLDG F
Hilton Head, SC 29926-2730

Phone

(843) 681-6630

Fax

(843) 681-3295

NPI assigned

May 29, 2007

Last updated

Nov 28, 2007By 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

Shauna Davis

Title

Medical Biller

Phone

(843) 681-6630

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1962603134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "BLDG 6 SUITE 11",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-3400",
            "fax_number": "843-681-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "BLDG F",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-6630",
            "fax_number": "843-681-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "843-681-6630"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2994",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HHMD LLC
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• Hilton Head Dermatology and Skin Cancer Center PA
• Hilton Head Family Eyecare Inc
• Hilton Head Heart PA
• Hilton Head Internists Laboratory
• Hilton Head Internists, LLC
• Hilton Head Laparoscopic and General Surgery PA
• Hilton Head Macula & Retina, PA

• Gastroenterology Physician in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.