MAIN ST MEDICAL - NEW ELLENTON LLC
NPI 1316762149
Clinic/Center - Primary Care in New Ellenton, SC
About Main St Medical - New Ellenton Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN ST MEDICAL - NEW ELLENTON LLC (NPI 1316762149) is a healthcare organization registered as a primary care in New Ellenton, South Carolina and active in the NPI registry since November 2024. The organization lists Amy Young Hibbitts, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW ELLENTON, SC 29809
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 Main St Medical - New Ellenton LLC's NPI number?
The NPI number for Main St Medical - New Ellenton LLC is 1316762149. It was assigned to this organization in the NPPES registry on November 18, 2024.
Where is Main St Medical - New Ellenton LLC located?
Main St Medical - New Ellenton LLC is located at 735 Main St N, New Ellenton, SC 29809. The listed phone number is (803) 443-0077.
What is Main St Medical - New Ellenton LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Main St Medical - New Ellenton LLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Main St Medical - New Ellenton Llc · NPI 1316762149
Primary Care organization in New Ellenton, South Carolina. Organization record, active in the CMS NPPES registry since November 18, 2024.
## Identity
- **NPI:** 1316762149 (Entity type: Organization)
- **Enumerated:** November 18, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Amy Hibbitts, OWNER
## Practice location
- **Address:** 735 MAIN ST N, New Ellenton, SC 29809-2518
- **Phone:** (803) 443-0077
## Record status
- **NPPES last updated:** November 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316762149) · Data from the CMS NPPES public registry.