1. Home
  2. Directory
  3. South Carolina
  4. Pendleton
  5. Family Medicine
  6. NPI Profile

PENDLETON FAMILY PRACTICE, LLC
NPI 1790705259
Family Medicine in Pendleton, SC

Active since July 20, 2006
101 SHIRLEY ST, PENDLETON, SC 29670(864) 646-7522(864) 646-3377 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pendleton Family Practice, Llc NPPES

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

PENDLETON FAMILY PRACTICE, LLC (NPI 1790705259) is a healthcare organization registered as a family medicine in Pendleton, South Carolina and active in the NPI registry since July 2006. The organization lists Stacy Lee Smith, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1790705259
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePENDLETON FAMILY PRACTICE, LLC
Location Address101 SHIRLEY STPendleton, SC 29670-1824
Mailing AddressPo Box 547Pendleton, SC 29670-0547 · (864) 646-7522 · Fax (864) 646-3377
Phone(864) 646-7522
Fax(864) 646-3377
Organization SubpartNo
Authorized OfficialStacy Lee SmithOwner/physician · (864) 646-7522
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 7, 2007
✔ NPI 1790705259 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.
101 SHIRLEY ST, Pendleton, SC 29670
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified7205SC
MedicaidGP3375SC
Medicare PIN7205SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

AUDREY SG JONES MD
Family Medicine
101 SHIRLEY ST
PENDLETON, SC 29670
Anderson County (864) 646-7522

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 Pendleton Family Practice, LLC's NPI number?

The NPI number for Pendleton Family Practice, LLC is 1790705259. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Pendleton Family Practice, LLC located?

Pendleton Family Practice, LLC is located at 101 Shirley St, Pendleton, SC 29670. The listed phone number is (864) 646-7522.

What is Pendleton Family Practice, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pendleton Family Practice, LLC was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.