Pendleton Family Practice, LLC
Pendleton Family Practice, LLC is a healthcare organization registered as Family Medicine Physician in Pendleton, SC, holding Type 2 (organization) NPI 1790705259 since 2006. The authorized official on file is Stacy Smith, Owner/Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790705259 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pendleton Family Practice, LLC |
| Practice address | 101 SHIRLEY ST, Pendleton, SC, 29670 |
| Phone | 8646467522 |
| Fax | 8646463377 |
| Enumeration date | 2006-07-20 |
| Last updated in NPPES | 2007-08-07 |
Authorized official
| Name | Stacy Smith |
|---|---|
| Title | Owner/Physician |
| Phone | 8646467522 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3375 | Medicaid | SC | — |
Copy-ready billing details
Provider: Pendleton Family Practice, LLC NPI: 1790705259 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 101 SHIRLEY ST, Pendleton, SC, 29670
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508886458 | Audrey Jones | Individual | Family Medicine Physician | Pendleton, SC |
Verify this record
Cross-check NPI 1790705259 against the authoritative CMS record: view Pendleton Family Practice, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Pendleton Family Practice, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-07.