F.M.A. P.A. NPI 1053426353

NPI Information

  • NPI: 1053426353
  • Provider Name: F.M.A., P.A.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY MEDICINE ASSOCIATES
  • CLIA Number: 42D0252860
  • Address: 522 COLLEGE AVE
    SUITE 1
    CLEMSON, SC
    ZIP 29631
  • Phone: (864) 654-7841

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NPI Details

F.M.A., P.A. is a family medicine in Clemson, 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. F.M.A., P.A. NPI is 1053426353. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Medicine Associates.

The provider's business location address is:

522 COLLEGE AVE
SUITE 1
CLEMSON, SC
ZIP 29631-443
Phone: (864) 654-7841
Fax: (864) 654-7641

The provider's authorized official is Warren Douglas Gentry .
The authorized official title is President and has the following contact phone number (864) 654-7841.

The CLIA number assigned to this NPI record is 42D0252860 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/8/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine9992SOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124081OTHERSOUTH CAROLINADR. TOLBERT STATE LICENSE
29992OTHERSOUTH CAROLINAGENTRY STATE LICENSE
3D90717MEDICARE UPINSOUTH CAROLINA
4I36014MEDICARE UPINSOUTH CAROLINA
52212MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
6PC3475MEDICAIDSOUTH 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: 11/21/2025

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