WINCHESTER FAMILY MEDICINE
NPI 1417146127
Family Medicine - Geriatric Medicine in Mauldin, SC

Q: What is Russell G. Gaddy M.D.'s NPI number?

The NPI number for Russell G. Gaddy M.D. is 1417146127. It was assigned to this organization in the NPPES registry on October 18, 2007. The provider is doing business as Winchester Family Medicine.

Q: What is Russell G. Gaddy M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since October 18, 2007

10 WINCHESTER CT, MAULDIN, SC 29662(864) 458-9999(864) 234-7652 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Winchester Family Medicine NPPES

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

WINCHESTER FAMILY MEDICINE (NPI 1417146127) is a healthcare organization registered as a geriatric medicine in Mauldin, South Carolina and active in the NPI registry since October 2007. The organization lists Russell G. Gaddy, Dr, as its authorized official.

NPPES Registry Identity

NPI1417146127

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameRUSSELL G. GADDY M.D.

Location Address10 WINCHESTER CTMauldin, SC 29662-2627

Mailing Address10 Winchester CtMauldin, SC 29662-2627 · (864) 458-9999 · Fax (864) 234-7652

Phone(864) 458-9999

Fax(864) 234-7652

Organization SubpartNo

Authorized OfficialRussell G. GaddyDr · (864) 458-9999

Enumeration DateOctober 18, 2007

Last NPPES UpdateJanuary 7, 2013

✔ NPI 1417146127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in SC · 007870

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

10 WINCHESTER CT, Mauldin, SC 29662

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Other Names 1

Doing Business AsWinchester Family Medicine

Other Identifiers 4

Medicare UPIND18356SC

Medicaid007870SC

OtherCM7824SC · Medicare Railroad

Other207QG0300XSC · Taxonomy Code

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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