Excalibur Youth Services, LLC.
NPI 1487174462 · Family Medicine Physician · Simpsonville, SC
Excalibur Youth Services, LLC. is a Family Medicine Physician organization in Simpsonville, SC (NPI 1487174462).
Provider details
- NPI number
- 1487174462
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Short, Ceo(864) 836-7220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2017-06-21
Frequently asked questions
- What is Excalibur Youth Services, LLC.'s NPI number?
- Excalibur Youth Services, LLC.'s National Provider Identifier (NPI) is 1487174462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excalibur Youth Services, LLC.?
- Excalibur Youth Services, LLC. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Excalibur Youth Services, LLC. located?
- Excalibur Youth Services, LLC.'s practice location on file with NPPES is 3683 S Industrial Dr, Simpsonville, SC 29681-3238.
- What is Excalibur Youth Services, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Excalibur Youth Services, LLC. is (864) 836-7220.
- Who is the authorized official for Excalibur Youth Services, LLC.?
- The authorized official listed on Excalibur Youth Services, LLC.'s NPPES record is John Short, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excalibur Youth Services, LLC.'s NPI active?
- Yes — Excalibur Youth Services, LLC.'s NPI (1487174462) is active in the NPPES registry as of the last update on 2017-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.