DUE WEST FAMILY MEDICINE – NPI #1689048464
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

DUE WEST FAMILY MEDICINE is a provider located in DUE WEST, SC. NPPES has assigned the NPI number 1689048464 to DUE WEST FAMILY MEDICINE on November 17, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUE WEST FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is ABBEVILLE COUNTY MEMORIAL HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 3 years ago on Jan 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUE WEST FAMILY MEDICINE below.

NPI Profile for
ABBEVILLE COUNTY MEMORIAL HOSPITAL

NPI Number
1689048464
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABBEVILLE COUNTY MEMORIAL HOSPITAL
Doing Business As (dba): DUE WEST FAMILY MEDICINE
Primary location
6 COLLEGE ST
DUE WEST, SC 29639-9554
Phone: (864) 379-2345 Fax: (864) 379-3228
Mailing address
PO BOX 887
ABBEVILLE, SC 29620-0887
Phone: (864) 366-5011 Fax: (864) 366-3317
Organization Subpart
Yes - DUE WEST FAMILY MEDICINE is subpart of another organization.
Authorized Official
MARY JACKSON
CHIEF COMPLIANCE OFFICER
Phone: (864) 366-3279
Updated
Certification Date
Jan 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DUE WEST FAMILY MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCLIASC42D2178584
medicaidSCGP7141
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
207QS0010X
- Family Medicine / Sports Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
AthenaEHR
Endpoint type
Other URL
Endpoint Description
ELECTRONIC HEALTH RECORD SHARED BY ALL CLINICIANS IN THE ORGANIZATIONS
Content Type
OTHER
Affiliation
N
Endpoint Location
6 COLLEGE ST,
DUE WEST, SC 77025-1669