CHESTERFIELD CLINIC CORP NPI 1164454435

NPI Information

  • NPI: 1164454435
  • Provider Name: CHESTERFIELD CLINIC CORP
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 715 S DOCTORS DR
    SUITE B
    CHERAW, SC
    ZIP 29520
  • Phone: (843) 537-3622

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NPI Details

CHESTERFIELD CLINIC CORP is an internal medicine in Cheraw, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CHESTERFIELD CLINIC CORP NPI is 1164454435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

715 S DOCTORS DR
SUITE B
CHERAW, SC
ZIP 29520-113
Phone: (843) 537-3622

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Provider Enrollment and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/20/2011.

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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207Q00000XFamily MedicineNo
3207RC0200XInternal MedicineCritical Care MedicineNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
7208000000XPediatricsNo
8208600000XSurgeryNo
9332B00000XDurable Medical Equipment & Medical SuppliesSOUTH CAROLINANo
10207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
11207RN0300XInternal MedicineNephrologyNo
12207R00000XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15950778MEDICAIDNORTH CAROLINA
25950784MEDICAIDNORTH CAROLINA
35981730001MEDICARE NSCSOUTH CAROLINA
45900377MEDICAIDNORTH CAROLINA
59347MEDICARE PINSOUTH CAROLINA
6GP4535MEDICAIDSOUTH CAROLINA
77415MEDICARE PINSOUTH CAROLINA
8GP1883MEDICAIDSOUTH 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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