EDISTO REGIONAL HEALTH SERVICES


Address: 4631 Savannah Highway, North, SC 29112
Phone: 8033952058

EDISTO REGIONAL HEALTH SERVICES (NPI# 1548277627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548277627
Entity Type Organization
Organization Name EDISTO REGIONAL HEALTH SERVICES
Other Organization Name NORTH FAMILY MEDICINE
Practice Address 4631 Savannah Highway
North
SC 29112
Mailing Address Po Box 1245
Orangeburg
SC 29116-1245
Practice Telephone 8033952058
Mailing Telephone 8033954499
Mailing Fax Number 8033954480
Enumeration Date 2006-08-02
Last Update Date 2007-11-19
Authorized Official Name MR. THOMAS DANDRIDGE (PRESIDENT)
Authorized Official Telephone 8033952200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP4479 05

Other Provider/Organization Names

Other Name Type Code
North Family Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982650107 Edisto Regional Health Services Pediatrics 2850 Pelham Ct, Orangeburg, SC 29118-1400 2006-05-26
1942430871 Edisto Regional Health Services Family Medicine 725 Harry C Raysor Dr, St Matthews, SC 29135-8403 2009-07-27
1578623708 Edisto Regional Health Services Family Medicine 215 Dorange Rd, Branchville, SC 29432-2241 2006-12-11
1285641332 Edisto Regional Health Services Family Medicine 2850 Pelham Ct, Orangeburg, SC 29118-1400 2006-08-02
1699713537 Edisto Regional Health Services Family Medicine 1170 Boulevard St, Suite A, Orangeburg, SC 29115-4359 2006-06-03

Office Location

Street Address 4631 SAVANNAH HIGHWAY
City NORTH
State SC
Zip Code 29112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841595667 Edisto Regional Health Services Inc. Clinic/Center 4631 Savannah Highway, North, SC 29112-8180 2011-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922198902 H and M Healthcare Inc Pharmacy 4633 Savannah Hwy, North, SC 29112 2006-10-13
1811919350 Michael D Sanders Family Medicine 4631 Savannah Hwy, North, SC 29112 2006-07-24
1972803252 H & M Healthcare, Inc. Durable Medical Equipment & Medical Supplies 4633 Savannah Highway, North, SC 29112 2010-11-02
1497956130 H & M Healthcare, Inc. Durable Medical Equipment & Medical Supplies 4633 Savannah Highway, North, SC 29112-0278 2007-05-30
1457747529 Keith M Keller Non-emergency Medical Transport (VAN) 233 Anisa Dr, North, SC 29112-8002 2015-04-15
1457303851 Singleton Health Center, LLC Clinic/Center 119 Boltin Ave, North, SC 29112-8131 2006-05-16
1467008300 Pine Hill Health Network Community Health Worker 4631 Savannah Hwy, North, SC 29112-8180 2019-08-15
1700351665 Brenda Irene Williams Pharmacist 4633 Savannah Hwy, North, SC 29112-8180 2018-10-08
1699265009 Brittany H Livingston Pharmacist 4633 Savannah Hwy, North, SC 29112-8180 2018-05-11
1215454988 Ashley Hallman Pharmacist 4633 Savannah Hwy, North, SC 29112-8180 2017-08-24
Find all providers in zip 29112

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811919350 Michael D Sanders Family Medicine 4631 Savannah Hwy, North, SC 29112 2006-07-24
1871938910 Tara Hook Family Medicine 4631 Savannah Hwy, North, SC 29112-8180 2013-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801495841 Neuro Health Sc LLC Family Medicine 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 2020-10-21
1811595499 Laura Coolidge Family Medicine 1528 Seacroft Rd, Charleston, SC 29412-8113 2020-10-15
1154928570 Lexington Health Inc Family Medicine 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 2020-10-08
1477150340 Meghan Hodapp Family Medicine 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 2020-10-05
1033716253 Proactive Md Tindall Spartanburg Health Center Family Medicine 2273 Hayne St., Spartanburg, SC 29301 2020-10-01
1851906267 Avneet Nagra Family Medicine 162 Montauk Dr, Lexington, SC 29072-6776 2020-09-11
1134732753 Ovp Health Care, Inc. Family Medicine 101 S Catawba St, Lancaster, SC 29720-2411 2020-08-24
1063024578 Beaufort County Memorial Hospital Family Medicine Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 2020-08-18
1841801149 Palmetto Primary Care Physicians, LLC Family Medicine 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 2020-08-11
1922617950 Fred E Hill Family Medicine 1033 Jervey Point Rd, Charleston, SC 29492-8372 2020-07-27
Find all providers with the same taxonomy

Competitor

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City NORTH
Zip Code 29112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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