Organization Active NPI

Frost Family Medicine

  • Primary Care Clinic/Center
  • Bluffton, SC
National Provider Identifier
1982625828
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
27106 Issued in SC
Legal business name
FROST FAMILY MEDICINE
Practice address
29 Plantation Park Dr
Suite 602
Bluffton, SC 29910-9001
Phone
(843) 815-5211
Fax
(843) 815-5213
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mrs. Barbara Jean Frost, RN BSN
Title
Office Manager/Nurse
Phone
(843) 815-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 27106 SC Primary

Addresses

Primary practice location

29 Plantation Park Dr
Suite 602
Bluffton, SC 29910-9001

Mailing address

PO Box 1577
Bluffton, SC 29910-1577
Phone (843) 815-5211

Other identifiers 1

IdentifierTypeStateIssuer
GP4009MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000945 SC Part B Supplier - Clinic/Group Practice 3678533262 Receives reassigned benefits from 1 practitioner
Practice locations: Hardeeville, SC

National Provider Directory

National Provider Directory

Locations

29 Plantation Park Dr
Ste 602
Bluffton, SC 29910
Phone (843) 815-5211

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1982625828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1577",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299101577",
            "telephone_number": "843-815-5211",
            "fax_number": "843-815-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 602",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-815-5211",
            "fax_number": "843-815-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROST FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER/NURSE",
        "authorized_official_telephone_number": "843-815-5211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "27106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4009",
            "state": "SC"
        }
    ],
    "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 Oct 17, 2007; 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.