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DIRECT ACCESS MD, LLC
NPI 1740760560
Family Medicine in Anderson, SC

Active since August 21, 2018CLIA 42D2238211 · Waiver
803 N FANT ST STE 2A, ANDERSON, SC 29621(864) 965-9150(864) 965-9654 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Direct Access Md, Llc NPPES

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

DIRECT ACCESS MD, LLC (NPI 1740760560) is a healthcare organization registered as a family medicine in Anderson, South Carolina and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through September 30, 2027, maintains a secondary practice location in Anderson, and lists Amy R Cianciolo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1740760560
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIRECT ACCESS MD, LLC
Location Address803 N FANT ST STE 2AAnderson, SC 29621-5718
Mailing Address803 N Fant St Ste 2aAnderson, SC 29621-5718 · (864) 965-9150 · Fax (864) 965-9654
Phone(864) 965-9150
Fax(864) 965-9654
Organization SubpartNo
Authorized OfficialAmy R CiancioloMedical Director · (864) 965-9150
Enumeration DateAugust 21, 2018
✔ NPI 1740760560 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.
803 N FANT ST STE 2A, Anderson, SC 29621
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Secondary Practice Location 1

Location 1823 Pearman Dairy RdAnderson, SC 29625-2617 · Phone (864) 540-8011

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 42D2238211

Direct Access MD, LLC · Anderson, SC
Active · expires Sep 30, 2027
CLIA Number42D2238211
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorJerry S. Purcell
Laboratory Phone(864) 965-9150
Laboratory LocationDirect Access MD, LLC1208 Ella Street, Anderson, SC 29621
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Direct Access MD, LLC's NPI number?

The NPI number for Direct Access MD, LLC is 1740760560. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Direct Access MD, LLC located?

Direct Access MD, LLC is located at 803 N Fant St Ste 2A, Anderson, SC 29621. The listed phone number is (864) 965-9150.

What is Direct Access MD, LLC's specialty?

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

Does Direct Access MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2238211) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Direct Access MD, LLC was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.