SIMPSONVILLE FAMILY MEDICINE, P.A.
NPI 1659755890
Family Medicine in Simpsonville, SC

Q: What is Simpsonville Family Medicine, P.A.'s NPI number?

The NPI number for Simpsonville Family Medicine, P.A. is 1659755890. It was assigned to this organization in the NPPES registry on July 17, 2015.

Q: What is Simpsonville Family Medicine, P.A.'s specialty?

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

Active since July 17, 2015CLIA 42D0917286 · Waiver

1336 HIGHWAY 14, SIMPSONVILLE, SC 29681(864) 527-8600 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Simpsonville Family Medicine, P.a. NPPES

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

SIMPSONVILLE FAMILY MEDICINE, P.A. (NPI 1659755890) is a healthcare organization registered as a family medicine in Simpsonville, South Carolina and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Dawn M Bates, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659755890

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSIMPSONVILLE FAMILY MEDICINE, P.A.

Location Address1336 HIGHWAY 14Simpsonville, SC 29681-5637

Mailing Address1336 Highway 14Simpsonville, SC 29681-5637 · (864) 527-8600

Phone(864) 527-8600

Organization SubpartNo

Authorized OfficialDawn M BatesAdministrator · (864) 527-8600

Enumeration DateJuly 17, 2015

✔ NPI 1659755890 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.

1336 HIGHWAY 14, Simpsonville, SC 29681

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0917286

Simpsonville Family Medicine · Simpsonville, SC

Active · expires Aug 14, 2027

CLIA Number42D0917286

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2025

Certificate Expiration DateAugust 14, 2027

Laboratory DirectorPaul Dillon

Laboratory Phone(864) 522-4750

Laboratory LocationSimpsonville Family Medicine1336 Hwy 14, Simpsonville, SC 29681

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

ANGELA MICHELLE STOLLER APRN

Nurse Practitioner (Family)