Provider Type Icon

DOCTORS CARE SC PA NPI 1649519513


NPI Information

NPI: 1649519513
Provider Name: DOCTORS CARE SC, PA

Doing Business As: DOCTORS CARE CONGAREE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0902262

Address:
701 CONGAREE RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 458-7289
Get Directions

DOCTORS CARE SC, PA is a family medicine in Greenville, SC. The provider is 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. DOCTORS CARE SC, PA NPI is 1649519513. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Doctors Care Congaree.

The provider's business location address is:

701 CONGAREE RD
GREENVILLE, SC
ZIP 29607-519
Phone: (864) 458-7289
Fax: (864) 458-9462

The provider's authorized official is Shelley Janssen .
The authorized official title is Chief Medical Officer and has the following contact phone number (803) 782-4278.

The CLIA number assigned to this NPI record is 42D0902262 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 9/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2208D00000XGeneral PracticeNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP0110MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.