Organization Active NPI

Carolinas Medical Alliance, Inc

Doing business as Griffin Family Practice

  • Rural Health Clinic/Center
  • Lamar, SC
National Provider Identifier
1972723096
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CAROLINAS MEDICAL ALLIANCE, INC
Doing business as
Griffin Family Practice
Practice address
105 N Railroad Ave
Lamar, SC 29069-9727
Phone
(843) 326-5777
Fax
(843) 326-1038
NPI assigned
Apr 30, 2007
Last updated
Jan 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Sophia L Arwood
Title
Director
Phone
(615) 628-6038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

105 N Railroad Ave
Lamar, SC 29069-9727

Mailing address

105 N Railroad Ave
Lamar, SC 29069-9727
Phone (843) 326-5777

Other identifiers 1

IdentifierTypeStateIssuer
RHC108MedicaidSC

Other names 1

  • Griffin Family Practice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1972723096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N RAILROAD AVE",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699727",
            "telephone_number": "843-326-5777",
            "fax_number": "843-326-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N RAILROAD AVE",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699727",
            "telephone_number": "843-326-5777",
            "fax_number": "843-326-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC108",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffin Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.