PVD Internal Medicine Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO689 Issued in SC

Legal business name

PVD INTERNAL MEDICINE ASSOCIATES LLC

Practice address

3000 Woodside Executive CT
Aiken, SC 29803-3831

Phone

(803) 226-0343

Fax

(803) 226-0584

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Alyssa M. Degnan, DONPI 1447243654

Title

Physician / Owner

Phone

(803) 226-0343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Alyssa Marie Degnan, D.O.

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1447243654
  Medicare reassignment NPD Authorized official
• Deborah Ann Heffington, FNP-BC

  • Family Nurse Practitioner
  • Aiken, SC
  • NPI 1932921491

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1962995100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WOODSIDE EXECUTIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033831",
            "telephone_number": "803-226-0343",
            "fax_number": "803-226-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WOODSIDE EXECUTIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033831",
            "telephone_number": "803-226-0343",
            "fax_number": "803-226-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVD INTERNAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "DEGNAN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "803-226-0343",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "DO689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colleen Quick, DMD
• Lauren Quiros, RDN

• Internal Medicine Physician in Aiken, SC
• Providers in Aiken, 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 Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.