SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC


Address: 601 Clemson Rd, Columbia, SC 29229-4341
Phone: 8037886146

SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC (NPI# 1184016941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184016941
Entity Type Organization
Organization Name SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC
Practice Address 601 Clemson Rd
Columbia
SC 29229-4341
Practice Telephone 8037886146
Practice Fax Number 8034620312
Mailing Telephone 8037886146
Mailing Fax Number 8034620312
Enumeration Date 2015-03-03
Last Update Date 2019-07-11
Authorized Official Name SARAH GRUBBS (CFO)
Authorized Official Telephone 8037886146
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 601 CLEMSON RD
City COLUMBIA
State SC
Zip Code 29229-4341

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720075393 Laura Barnhart Alberg Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2005-09-29
1942659073 Brittany Watson Page Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2016-06-09
1932232212 Kiersten Leigh Lofton Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2007-03-14
1376651943 Richard D Shrouds Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2006-08-25
1740397918 Nada J Hamzy Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2006-08-24
1184634081 Barry W Cabiness Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2006-08-09
1598719700 Jennifer M Soroos Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2006-05-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194332619 Candid South Carolina, P.C. Dentist 136-4 Forum Drive #a20, Columbia, SC 29229 2020-09-29
1275166761 Isis Marie Pearson Behavior Technician 4611 Hardscrabble Rd, #239, Columbia, SC 29229 2020-02-13
1083254338 Lintiya Mccleary Behavior Technician 1048 Wildewood Center Dr, Columbia, SC 29229 2020-01-14
1538702873 Genuine Care LLC Home Health Aide 112 Denby Cir, Columbia, SC 29229 2019-10-18
1588218028 John Calvin Thorne Iv Pharmacist 175 Forum Drive, Columbia, SC 29229 2019-08-01
1801303839 Eye Associates of Columbia Inc Clinic/Center 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 2017-12-28
1508385469 Palmetto Community Group Counselor 402 Nautique Circle, Columbia, SC 29229 2017-09-12
1245754472 Fernandez Interpreter & Translator Solutions Interpreter 140 Rivendale Drive, Columbia, SC 29229 2017-07-30
1770935744 Yasmine Gamil Gabr Family Medicine 103 Summit Centre Drive, Columbia, SC 29229 2016-07-01
1386095164 Mack's Loving Care Home Health 55 Crooked Creek Place, Columbia, SC 29229 2016-06-23
Find all providers in zip 29229

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346401189 Rose - Marie St Jean Sylla Pediatrics 5209 Eliots Oak Rd, Columbia, MD 21044-1826 2008-06-24
1174695670 Kenneth M. Klebanow, M.d. & Associates, P.a. Pediatrics 8821 C0lumbia 100 Pkwy, Columbia, MD 21045 2006-11-14
1063528305 Aruna V Khurana Pediatrics 10804 Hickory Ridge Rd, Columbia, MD 21044-3622 2006-08-21
1164487955 Mojibola Olayinka Solaja Pediatrics 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 2006-04-18
1396991741 John Khoury Pediatrics 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 2008-08-15
1033322318 Lisa D. Monsees Pediatrics 401 N Keene St, Columbia, MO 65201-6625 2007-05-07
1376683391 Medogun Pa Pediatrics 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 2007-02-07
1609940790 Aneesh Kumar Tosh Pediatrics 404 N Keene St Ste 101, Columbia, MO 65201-6626 2006-11-20
1326143611 Jacqueline A Brown Pediatrics 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 2006-09-13
1619989407 Kenneth Michael Klebanow Pediatrics 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 2006-08-12
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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