FAMILY LIFE MEDICINE (NPI# 1558690305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558690305 |
| Entity Type | Organization |
| Organization Name | FAMILY LIFE MEDICINE |
| Practice Address |
7209 Hwy 90 Suite C Longs SC 29568 |
| Practice Telephone | 8433901800 |
| Practice Fax Number | 8433901817 |
| Mailing Telephone | 8433901800 |
| Mailing Fax Number | 8433901817 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | MRS. CAROLYN WARD (LORIS PHYSICIANS CREDENTIALING) |
| Authorized Official Telephone | 9198806406 |
| Is Organization Subpart | Y |
| Parent Organization Name | LORIS COMMUNITY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TL32240 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
7209 HWY 90 SUITE C |
| City | LONGS |
| State | SC |
| Zip Code | 29568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932226628 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 2126 E Hwy 9, Parkway Plaza Center Bldg G Ste 4, Longs, SC 29568 | 2007-03-26 |
| 1831238229 | Elaine C Byrd | Speech-Language Pathologist | 2126 Highway 9 E Ste C4, Longs, SC 29568 | 2007-02-05 |
| 1932612082 | Monica Christine Po | Physician Assistant | 2237 Highway 9 E, Longs, SC 29568-5701 | 2017-11-13 |
| 1053912451 | Phillip Douglas Clark Sr. | Home Health Aide | 2126 Highway 9 E Unit 5b, Longs, SC 29568-5725 | 2020-11-03 |
| 1104237924 | Parkway Discount Pharmacy | Pharmacy | 2126 Highway 9 E, Bldg D Suite 9, Longs, SC 29568-5725 | 2014-05-14 |
| 1164524120 | John S Enloe | Chiropractor | 2126 Hwy 9 East, Bldg D-3, Longs, SC 29568-5725 | 2006-09-01 |
| 1811078512 | John S. Enloe Iv, D.c., P.C. | Chiropractor | 2126 Hwy 9 East, Bldg D-3, Longs, SC 29568-5725 | 2006-10-18 |
| 1851759674 | Carolina Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2126 Highway 9 E Ste G6, Longs, SC 29568-5734 | 2016-02-08 |
| 1891329272 | Prs 9, LLC | Physical Therapist | 2126 Highway 9 E Ste E3, Longs, SC 29568-5736 | 2020-02-25 |
| 1033720628 | Sarah Gerth | Speech-Language Pathologist | 2126 Highway 9 E Ste C4, Longs, SC 29568-5753 | 2020-08-16 |
| Find all providers in zip 29568 | ||||
| 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 |
|---|---|---|---|---|
| 1639446750 | Mcleod Physician Associates II | Family Medicine | 7209 Highway 90, Suite C, Longs, SC 29568-6236 | 2011-11-17 |
| 1467428821 | Terry A Belden | Family Medicine | 2136 Bear Grass Road West, Longs, SC 29568-8048 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.