Provider Demographics
NPI:1437012135
Name:CGS MEDICAL
Entity type:Organization
Organization Name:CGS MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C, APRN
Authorized Official - Phone:803-824-9721
Mailing Address - Street 1:465 GARRIS HILL LOOP
Mailing Address - Street 2:
Mailing Address - City:SMOAKS
Mailing Address - State:SC
Mailing Address - Zip Code:29481-6442
Mailing Address - Country:US
Mailing Address - Phone:803-824-9721
Mailing Address - Fax:
Practice Address - Street 1:465 GARRIS HILL LOOP
Practice Address - Street 2:
Practice Address - City:SMOAKS
Practice Address - State:SC
Practice Address - Zip Code:29481-6442
Practice Address - Country:US
Practice Address - Phone:803-824-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty