1. Home
  2. Directory
  3. South Carolina
  4. Conway
  5. Nurse Practitioner
  6. NPI Profile

KINGSTON FAMILY CARE
NPI 1336128412
Nurse Practitioner - Primary Care in Conway, SC

Active since January 17, 2006
1511 B 9TH AVE, CONWAY, SC 29526(843) 839-9202 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kingston Family Care NPPES

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

KINGSTON FAMILY CARE (NPI 1336128412) is a healthcare organization registered as a primary care in Conway, South Carolina and active in the NPI registry since January 2006. The organization lists Charlotte L Sloan, Owner, as its authorized official.

NPPES Registry Identity

NPI1336128412
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameKINGSTON FAMILY CARE
Location Address1511 B 9TH AVEConway, SC 29526-4107
Mailing AddressBox 106, 4728 Jenn DrMyrtle Beach, SC 29577-5714 · (843) 839-9202
Phone(843) 839-9202
Organization SubpartNo
Authorized OfficialCharlotte L SloanOwner · (843) 839-9202
Enumeration DateJanuary 17, 2006
Last NPPES UpdateOctober 26, 2007
✔ NPI 1336128412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in SC · 26916
1511 B 9TH AVE, Conway, SC 29526
Open in Google Maps ↗

Other Identifiers 3

MedicaidGP4278SC
Medicare PIN8309SC
Medicare UPINS66122SC

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 Kingston Family Care's NPI number?

The NPI number for Kingston Family Care is 1336128412. It was assigned to this organization in the NPPES registry on January 17, 2006.

Where is Kingston Family Care located?

Kingston Family Care is located at 1511 B 9th Ave, Conway, SC 29526. The listed phone number is (843) 839-9202.

What is Kingston Family Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kingston Family Care was last updated on October 26, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.