NPIMap

Organization Active NPI

Foothills Community Health Care, Inc.

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1972369643
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOOTHILLS COMMUNITY HEALTH CARE, INC.
Practice address
302 Pearman Dairy Rd Ste C
Anderson, SC 29625-3802
Phone
(864) 722-0283
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Millie Ann Justice
Title
Staff Accountant
Phone
(864) 722-0283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

302 Pearman Dairy Rd Ste C
Anderson, SC 29625-3802

Mailing address

302 Pearman Dairy Rd Ste C1
Anderson, SC 29625-3802
Phone (864) 722-0283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200622000193 SC Part B Supplier - Clinic/Group Practice 8628227667 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anderson, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foothills Community Health Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

302 Pearman Dairy Rd
Ste C
Anderson, SC 29625
Phone (864) 722-0283

302 Pearman Dairy Rd
Ste C2
Anderson, SC 29625
Phone (864) 722-0283

403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1972369643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PEARMAN DAIRY RD STE C1",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253802",
            "telephone_number": "864-722-0283",
            "fax_number": "864-654-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PEARMAN DAIRY RD STE C",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253802",
            "telephone_number": "864-722-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "STAFF ACCOUNTANT",
        "authorized_official_telephone_number": "864-722-0283"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.