KINGSTREE FAMILY MEDICINE PA
NPI 1841286192
Family Medicine in Kingstree, SC

Active since September 22, 2005
512 NELSON BLVD, SUITE 200, KINGSTREE, SC 29556(843) 355-5459(843) 355-9704 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingstree Family Medicine Pa NPPES

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

KINGSTREE FAMILY MEDICINE PA (NPI 1841286192) is a healthcare organization registered as a family medicine in Kingstree, South Carolina and active in the NPI registry since September 2005. The organization lists Raymond Keels Allen, President, as its authorized official.

NPPES Registry Identity

NPI1841286192
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKINGSTREE FAMILY MEDICINE PA
Location Address512 NELSON BLVD, SUITE 200Kingstree, SC 29556-4027
Mailing Address512 Nelson Blvd, Suite 200Kingstree, SC 29556-4027 · (843) 355-5459 · Fax (843) 355-9704
Fax(843) 355-9704
Organization SubpartNo
Authorized OfficialRaymond Keels AllenPresident · (843) 355-5459
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJune 3, 2008
NPI 1841286192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 11529
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.
512 NELSON BLVD, Kingstree, SC 29556

Other Identifiers 3

Medicare PIN4114SC
Medicare UPIND17845SC
MedicaidGP0509SC

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 3

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

Physician Assistant
512 NELSON BLVD, SUITE 200
KINGSTREE, SC 29556
Family Medicine
512 NELSON BLVD, SUITE 200
KINGSTREE, SC 29556
Family Medicine
512 NELSON BLVD, SUITE 200
KINGSTREE, SC 29556

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 Kingstree Family Medicine PA's NPI number?

The NPI number for Kingstree Family Medicine PA is 1841286192. It was assigned to this organization in the NPPES registry on September 22, 2005.

Where is Kingstree Family Medicine PA located?

Kingstree Family Medicine PA is located at 512 Nelson Blvd Suite 200, Kingstree, SC 29556. The listed phone number is (843) 355-5459.

What is Kingstree Family Medicine PA'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 Kingstree Family Medicine PA was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.