MAGNOLIA FAMILY PRACTICE LLC (NPI# 1386282838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386282838 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA FAMILY PRACTICE LLC |
| Practice Address |
1229 Alice Dr Sumter SC 29150-1970 |
| Practice Telephone | 8039052273 |
| Mailing Telephone | 8039052273 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | DR. JOHN RUSSELL FLEMING JR. (OWNER) |
| Authorized Official Telephone | 8039052273 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1229 ALICE DR |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448771 | John Russell Fleming Jr. | Family Medicine | 1229 Alice Dr, Sumter, SC 29150-1970 | 2005-06-22 |
| 1053843623 | Jennifer Weich | Nurse Practitioner | 1229 Alice Dr, Sumter, SC 29150-1970 | 2017-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
| 1780742825 | Sandhills Medical Foundation Inc | Family Medicine | 425 N Salem Ave, Sumter, SC 29150-4115 | 2006-12-04 |
| 1295745941 | Jodi Lynne Belinski | Family Medicine | 115 North Sumter Street, Suite 315, Sumter, SC 29150-4967 | 2006-08-08 |
| 1205878410 | William T Culclasure | Family Medicine | 880 Carolina Avenue, Ltc Health Solutions@ Sumter East Health, Sumter, SC 29150-2815 | 2006-06-12 |
| 1710927322 | James Roper Ingram | Family Medicine | 738 W Liberty St Ste A, Sumter, SC 29150-4745 | 2006-06-08 |
| 1932195559 | Carrie Anne Judy | Family Medicine | 308 W Wesmark Blvd, Sumter, SC 29150-1977 | 2005-09-20 |
| 1801880190 | Christopher Mahr | Family Medicine | 698 Bultman Dr, Suite A, Sumter, SC 29150-2549 | 2005-09-01 |
| 1275525388 | Richard A Wall Jr. | Family Medicine | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2005-08-16 |
| 1366448771 | John Russell Fleming Jr. | Family Medicine | 1229 Alice Dr, Sumter, SC 29150-1970 | 2005-06-22 |
| 1699771006 | Cynthia Skelton Reese | Family Medicine | 115 N Sumter St, Ste 315, Sumter, SC 29150-4967 | 2005-06-22 |
| Find all providers in SUMTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.