MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. (NPI# 1902364680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902364680 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. |
| Practice Address |
955 Boscobel Rd Anderson SC 29625-6704 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 8643750893 |
| Practice Fax Number | 8643750894 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Michelin Health Ctr - Anderson Hub | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285128462 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 525 Michelin Rd, Greenville, SC 29605 | 2018-06-20 |
| 1598259772 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Parkway S, Greenville, SC 29615 | 2018-06-20 |
| 1083108260 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 1785 New Cut Rd, Spartanburg, SC 29303 | 2018-06-20 |
| 1336633510 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Bib Way, Anderson, SC 29626 | 2018-06-20 |
| 1548754724 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 2480 Two Notch Rd, Lexington, SC 29072 | 2018-06-20 |
| Street Address |
955 BOSCOBEL RD |
| City | ANDERSON |
| State | SC |
| Zip Code | 29625-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554704 | Kathryn Moules Newton | Registered Nurse | 200 Mcgee Ed., Anderson, SC 29625 | 2018-07-12 |
| 1285121640 | Linda Reeves Mccullough | Registered Nurse | 1014bwhitehall Rd., Anderson, SC 29625 | 2018-04-20 |
| 1245688787 | Sacred Heart Beats | Music Therapist | 1107 Watkins Road, Anderson, SC 29625 | 2016-05-25 |
| 1649667718 | Deanna R Luvene | Counselor | 515b Camson Road, Abderson, SC 29625 | 2015-04-16 |
| 1295162048 | Kimberly Dickerson | Pharmacist | 922 Highway 28 By-pass, Anderson, SC 29625 | 2013-10-10 |
| 1386998458 | Judy E. Festa-hanna | Counselor | 226 Mcgee Road, Anderson, SC 29625 | 2012-10-29 |
| 1902156201 | Britanny Ab Rood | Pharmacist | 109 Hwy 28 Bypass, Anderson, SC 29625 | 2012-09-13 |
| 1689993065 | Carey Glenn | Midwife | 1107 Watkins Rd, Anderson, SC 29625 | 2010-05-24 |
| 1033350616 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 235 Polaris Street, Anderson, SC 29625 | 2009-03-12 |
| 1437329018 | Moriah Healthcare Services LLC | Clinic/Center | 823 Pearman Dairy Rd, Anderson, SC 29625 | 2008-03-10 |
| Find all providers in zip 29625 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942665492 | Robert William Mccurdy | General Practice | 38 Tweedy Ln, Anderson, IN 46012-1953 | 2015-12-29 |
| 1932311677 | Hensler Services, Inc. | General Practice | 1010 W 8th St, Suite # 2, Anderson, IN 46016-2659 | 2007-05-04 |
| 1700975364 | Edgar Leland Talbert | General Practice | 1028 South Main Street, Anderson, SC 29624 | 2006-10-12 |
| 1902281371 | Emergencymd, LLC | General Practice | 823 Pearman Dairy Rd, Anderson, SC 29625-2617 | 2015-07-27 |
| 1386035368 | J M Holding Group Inc | General Practice | 1541 S Scatterfield Rd, Ste A, Anderson, IN 46016-5785 | 2015-02-11 |
| 1205175171 | Doctors Care Sc, Pa | General Practice | 2126 N Highway 81, Anderson, SC 29621-1532 | 2013-02-12 |
| 1225349616 | Novia Careclinics, LLC | General Practice | 3426 Mounds Rd, Anderson, IN 46017 | 2010-06-30 |
| 1447434543 | Anmed Health | General Practice | 600 N Fant St, Anderson, SC 29621-5704 | 2007-12-26 |
| 1396773461 | Saint John Health System | General Practice | 141 W 22nd St, Anderson, IN 46016-4304 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912253 | Life Essentials Health Center LLC | General Practice | 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464-3342 | 2020-11-04 |
| 1710591706 | Madhuri Khadka | General Practice | 427 Galbreath Ct, Fort Mill, SC 29708-0176 | 2020-09-07 |
| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1790138014 | Beaufort-jasper-hampton Comprehensive Health Services Inc. | General Practice | 2210-b Mossy Oaks Rd., Port Royal, SC 29935-1046 | 2016-07-21 |
| 1659726438 | Inspire Medical Services | General Practice | 104 Berkeley Square Ln, Ste 63, Goose Creek, SC 29445-2958 | 2016-04-28 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C..
| 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.