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MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
NPI 1902364680
General Practice in Anderson, SC

Active since March 12, 2019
955 BOSCOBEL RD, ANDERSON, SC 29625(864) 375-0893(864) 375-0894 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medexpress Primary Care South Carolina, P.c. NPPES

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

MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. (NPI 1902364680), doing business as Michelin Health Ctr - Anderson Hub, is a healthcare organization registered as a general practice in Anderson, South Carolina and active in the NPI registry since March 2019. The organization lists Brett Gall, Director Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1902364680
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
Location Address955 BOSCOBEL RDAnderson, SC 29625-6704
Mailing Address1001 Consol Energy DrCanonsburg, PA 15317-6506 · (304) 225-2500 · Fax (724) 743-1133
Phone(864) 375-0893
Fax(864) 375-0894
Organization SubpartNo
Authorized OfficialBrett GallDirector Payor Contracting · (304) 225-2500
Enumeration DateMarch 12, 2019
✔ NPI 1902364680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
955 BOSCOBEL RD, Anderson, SC 29625
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Other Names 1

Doing Business AsMichelin Health Ctr - Anderson Hub

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 MULTIPLE SINGLE 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.

EVERSIDE HEALTH CENTER-MICHELIN ANDERSON
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
955 BOSCOBEL RD
ANDERSON, SC 29625
Anderson County (864) 375-0893
MRS. DEBRA ANN MULL RN, BHSR, MBA
Registered Nurse (Case Management)
955 BOSCOBEL RD
ANDERSON, SC 29625
Anderson County (864) 332-6549
KRISTINA HILL RN
Registered Nurse
955 BOSCOBEL RD
ANDERSON, SC 29625
Anderson County (864) 275-0893

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 Medexpress Primary Care South Carolina, P.C.'s NPI number?

The NPI number for Medexpress Primary Care South Carolina, P.C. is 1902364680. It was assigned to this organization in the NPPES registry on March 12, 2019. The provider is doing business as Michelin Health Ctr - Anderson Hub.

Where is Medexpress Primary Care South Carolina, P.C. located?

Medexpress Primary Care South Carolina, P.C. is located at 955 Boscobel Rd, Anderson, SC 29625. The listed phone number is (864) 375-0893.

What is Medexpress Primary Care South Carolina, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medexpress Primary Care South Carolina, P.C. was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.