JAMES ISLAND FAMILY PRACTICE NPI 1316051345

NPI Information

  • NPI: 1316051345
  • Provider Name: JAMES ISLAND FAMILY PRACTICE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 42D0884050
  • Address: 490 MARTELLO DR
    CHARLESTON, SC
    ZIP 29412
  • Phone: (843) 762-4963

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NPI Details

JAMES ISLAND FAMILY PRACTICE is a family medicine in Charleston, 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. JAMES ISLAND FAMILY PRACTICE NPI is 1316051345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

490 MARTELLO DR
CHARLESTON, SC
ZIP 29412-638
Phone: (843) 762-4963
Fax: (843) 762-3039

The provider's authorized official is William D Anderson .
The authorized official title is President and has the following contact phone number (843) 762-4963.

The CLIA number assigned to this NPI record is 42D0884050 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/27/2007.

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 Medicine18074SOUTH 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
16594MEDICARE PINSOUTH 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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