BLUFFTON OKATIE PRIMARY CARE LLC NPI 1326285115

NPI Information

  • NPI: 1326285115
  • Provider Name: BLUFFTON OKATIE PRIMARY CARE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 42D0949423
  • Address: 40 OKATIE CENTER BLVD SOUTH
    SUITE 100A
    OKATIE, SC
    ZIP 29909
  • Phone: (843) 705-8888

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NPI Details

BLUFFTON OKATIE PRIMARY CARE, LLC is a family medicine in Okatie, 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. BLUFFTON OKATIE PRIMARY CARE, LLC NPI is 1326285115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 OKATIE CENTER BLVD SOUTH
SUITE 100A
OKATIE, SC
ZIP 29909-507
Phone: (843) 705-8888
Fax: (843) 705-7024

The provider's authorized official is Wesley O. James .
The authorized official title is Regional Cfo, Tenet and has the following contact phone number (404) 265-5009.

The CLIA number assigned to this NPI record is 42D0949423 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 5/26/2016.

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 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
1DP4671MEDICARE PINSOUTH CAROLINA
29192MEDICARE PIN

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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