KERSHAWHEALTH NPI 1912288093

NPI Information

  • NPI: 1912288093
  • Provider Name: KERSHAWHEALTH
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KERSHAWHEALTH PRIMARY CARE AT LUGOFF
  • Address: 116 STANDARD WAREHOUSE RD
    LUGOFF, SC
    ZIP 29078
  • Phone: (803) 438-6023

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NPI Details

KERSHAWHEALTH is a family medicine in Lugoff, 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. KERSHAWHEALTH NPI is 1912288093. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kershawhealth Primary Care At Lugoff.

The provider's business location address is:

116 STANDARD WAREHOUSE RD
LUGOFF, SC
ZIP 29078-670
Phone: (803) 438-6023
Fax: (803) 438-3671

The provider's authorized official is Donnie J Weeks .
The authorized official title is President/ceo and has the following contact phone number (803) 713-6227.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 9/2/2011.

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
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
13410MEDICARE PINSOUTH CAROLINA
2400480MEDICAIDSOUTH 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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