Organization Active NPI

Bluffton Jasper Volunteers in Medicine

  • Infectious Disease Physician
  • Bluffton, SC
National Provider Identifier
1982352415
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BLUFFTON JASPER VOLUNTEERS IN MEDICINE
Practice address
29 Plantation Park Dr BLDG 600
Bluffton, SC 29910-9001
Phone
(843) 706-7080
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Kathleen Casey, MD
Title
Medical Director
Phone
(843) 706-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

29 Plantation Park Dr BLDG 600
Bluffton, SC 29910-9001

Mailing address

PO Box 2653
Bluffton, SC 29910-2653
Phone (843) 706-7090

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2035838Bluffton-Jasper County Volunteers in Medicine, Inc29 Plantation Park Drive, BLDG 600, Bluffton, SC 29910Certificate of waiverJan 25, 2028

National Provider Directory

National Provider Directory

Locations

29 Plantation Park Dr
Bldg 600
Bluffton, SC 29910
Phone (843) 706-7080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1982352415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2653",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102653",
            "telephone_number": "843-706-7090",
            "fax_number": "843-706-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR BLDG 600",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-706-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFTON JASPER VOLUNTEERS IN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-706-7090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.