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Omnimed LLC

Family Medicine Physician in Rock Hill, SC · enumerated 2006 · authorized official Jennifer Randel, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588623433

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Registry record

Entity type Organization (Type 2)
Legal business name Omnimed LLC
Other name <Unavail>
Practice address 2450 India Hook Rd, Rock Hill, SC, 29732
Fax (803) 329-1118
Enumeration date Mar 20, 2006
Last updated in NPPES Mar 8, 2021

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Randel
Title Office Manager

Other identifiers

Identifier Type State Issuer
DE3289 Other SC MEDIACID SC - DME
4448680 Other - AETNA
0120I Other NC BLUE CROSS BLUE SHIELD NC
GP4453 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Omnimed LLC?
Omnimed LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-08.