SAMUEL J CORBIN JR. (NPI# 1184601262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184601262 |
| Entity Type | Individual |
| Full Name | SAMUEL J CORBIN JR. |
| Credential | MD |
| Practice Address |
18 Barnette Dr Sumter SC 29150-8004 |
| Practice Telephone | 8037756308 |
| Practice Fax Number | 8037781853 |
| Mailing Telephone | 8037756308 |
| Mailing Fax Number | 8037781853 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5350 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | UNITED HEALTH CARE | 0191552 | 01 |
| RAILROAD MEDICARE PTAN | P00451777 | 01 | |
| SC | UNISON HEALTH PLAN | 000000149363 | 01 |
| SC | 053505 | 05 | |
| SC | PREMIER HEALTH SYSTEMS | 61271 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619376068 | Samuel Corbin | Clinic/Center | 6565 Arlington Blvd Ste 220, Falls Church, VA 22042-3000 | 2014-08-21 |
| Street Address |
18 BARNETTE DR |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910539 | Communities Developing Love and Care, LLC | Case Management | 18 Barnette Dr, Sumter, SC 29150-8004 | 2018-01-17 |
| 1407234909 | Bernice Kennedy | Clinical Nurse Specialist | 18 Barnette Dr, Sumter, SC 29150-8004 | 2015-05-15 |
| 1780077370 | Chosen Counseling Services | Counselor | 18 Barnette Dr, Sumter, SC 29150-8004 | 2015-03-06 |
| 1891186524 | Chosen Counseling Services LLC | Community/Behavioral Health | 18 Barnette Dr, Sumter, SC 29150-8004 | 2015-02-17 |
| 1215331723 | Alm Counseling | Counselor | 18 Barnette Dr, Sumter, SC 29150-8004 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417012196 | Deli Wang | General Practice | 1105 N Lafayette Dr Ste B, Sumter, SC 29150-2913 | 2006-12-24 |
| 1073569752 | Brenda Chapman Williams | General Practice | 448 North Main Street, Sumter, SC 27150 | 2006-05-25 |
| 1588618144 | Excelsior Medical Clinic, Pa | General Practice | 448 N Main St, Excelsior Medical Clinic, Pa, Sumter, SC 29150-4233 | 2006-05-19 |
| 1598792285 | Eric R Byrd | General Practice | 240 Church St, Sumter, SC 29150-4256 | 2006-06-27 |
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| 1659726438 | Inspire Medical Services | General Practice | 104 Berkeley Square Ln, Ste 63, Goose Creek, SC 29445-2958 | 2016-04-28 |
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| Find all providers with the same taxonomy | ||||
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| 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.