PRIVATE PHYSICIAN GROUP LLC NPI 1639841323

NPI Information

  • NPI: 1639841323
  • Provider Name: PRIVATE PHYSICIAN GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1698 HIGHWAY 160 W STE 200
    FORT MILL, SC
    ZIP 29708
  • Phone: (516) 590-4475

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NPI Details

PRIVATE PHYSICIAN GROUP LLC is a family medicine in Fort Mill, 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. PRIVATE PHYSICIAN GROUP LLC NPI is 1639841323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1698 HIGHWAY 160 W STE 200
FORT MILL, SC
ZIP 29708-034
Phone: (516) 590-4475
Fax: (803) 267-8229

The provider's authorized official is Catherine L. Ferrara .
The authorized official title is Owner and has the following contact phone number (516) 590-4475.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 9/30/2021.

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

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: 3/30/2025

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