RUSSELL G. GADDY M.D. NPI 1417146127

NPI Information

  • NPI: 1417146127
  • Provider Name: RUSSELL G. GADDY M.D.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: WINCHESTER FAMILY MEDICINE
  • Address: 10 WINCHESTER CT
    MAULDIN, SC
    ZIP 29662
  • Phone: (864) 458-9999

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NPI Details

RUSSELL G. GADDY M.D. is a geriatric medicine family medicine in Mauldin, SC. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. RUSSELL G. GADDY M.D. NPI is 1417146127. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Winchester Family Medicine.

The provider's business location address is:

10 WINCHESTER CT
MAULDIN, SC
ZIP 29662-627
Phone: (864) 458-9999
Fax: (864) 234-7652

The provider's authorized official is Russell G. Gaddy .
The authorized official title is Dr and has the following contact phone number (864) 458-9999.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 1/7/2013.

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
1207QG0300XFamily MedicineGeriatric Medicine007870SOUTH 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
1D18356MEDICARE UPINSOUTH CAROLINA
2007870MEDICAIDSOUTH CAROLINA
3CM7824OTHERSOUTH CAROLINAMEDICARE RAILROAD
4207QG0300XOTHERSOUTH CAROLINATAXONOMY CODE

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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