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SUMMERTON FAMILY MEDICINE LLC
NPI 1093707416
Family Medicine in Summerton, SC

Active since August 22, 2005
107 MAIN STREET, SUMMERTON, SC 29148(803) 485-2351(803) 485-2219 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summerton Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMERTON FAMILY MEDICINE LLC (NPI 1093707416) is a healthcare organization registered as a family medicine in Summerton, South Carolina and active in the NPI registry since August 2005. The organization lists David T. Koon, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1093707416
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMERTON FAMILY MEDICINE LLC
Location Address107 MAIN STREETSummerton, SC 29148
Mailing AddressPo Box 10Summerton, SC 29148-0010 · (803) 485-2351 · Fax (803) 485-2219
Phone(803) 485-2351
Fax(803) 485-2219
Organization SubpartNo
Authorized OfficialDavid T. KoonOwner/physician · (803) 485-2351
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 8, 2008
✔ NPI 1093707416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
107 MAIN STREET, Summerton, SC 29148
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Other Identifiers 5

Medicare UPINF89192SC
OtherCJ8906SC · Medicare Id Retired Rr
Medicare PIN7161SC
OtherF891927161SC · Medicare Provider
MedicaidGP3257SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summerton Family Medicine LLC's NPI number?

The NPI number for Summerton Family Medicine LLC is 1093707416. It was assigned to this organization in the NPPES registry on August 22, 2005.

Where is Summerton Family Medicine LLC located?

Summerton Family Medicine LLC is located at 107 Main Street, Summerton, SC 29148. The listed phone number is (803) 485-2351.

What is Summerton Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Summerton Family Medicine LLC was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.