CALVIN GIBBS (NPI# 1245477488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245477488 |
| Entity Type | Individual |
| Full Name | CALVIN GIBBS |
| Practice Address |
2611 Forest Dr Suite 103 Office 116 Columbia SC 29204-2379 |
| Mailing Address |
Po Box 5141 West Columbia SC 29171-5141 |
| Practice Telephone | 8032121055 |
| Mailing Telephone | 8032121055 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2611 FOREST DR SUITE 103 OFFICE 116 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982618161 | Trinity Counseling Services LLC | Counselor | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2006-07-27 |
| 1255995411 | Colleen Bradley | Physician Assistant | 2611 Forest Dr, Columbia, SC 29204-2379 | 2019-04-23 |
| 1700374162 | Physical Rehabilitation Group, LLC | Physical Therapist | 2611 Forest Dr, Columbia, SC 29204-2379 | 2018-05-01 |
| 1033425293 | Journey Forward, LLC | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204-2379 | 2010-08-26 |
| 1912132770 | Encore Supply and Services,inc | Durable Medical Equipment & Medical Supplies | 2611 Forest Dr, Suite 130, Columbia, SC 29204-2379 | 2009-05-22 |
| 1386882017 | Abundant Home Care Solutions LLC | Preferred Provider Organization | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2009-02-03 |
| 1336302538 | Journey Forward | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204-2379 | 2008-07-08 |
| 1730201815 | Wanda Nunn | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204 | 2007-04-06 |
| 1538206735 | Jerome Prezzy | Psychologist | 2611 Forest Dr, Suite 114a, Columbia, SC 29204-2379 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518142215 | Mark Root | Orthotic Fitter | 5950 Hampton Leas Ln, Columbia, SC 29209-1900 | 2008-01-01 |
| 1003809476 | John Joseph Kasik Sr. | Orthotic Fitter | 329 Hunters Blind Dr, Columbia, SC 29212-1651 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730461138 | Chad N Mullins | Orthotic Fitter | 513 Chester Ave, Great Falls, SC 29055-1219 | 2011-09-13 |
| 1164723151 | Rebecca Randall | Orthotic Fitter | 7 Maverick St, Charleston, SC 29403-4114 | 2010-11-08 |
| 1922247253 | Matrix Rehabilitation Solutions, LLC | Orthotic Fitter | 108 Riverfront Ln., Simpsonville, SC 29681 | 2009-02-10 |
| 1982857272 | Bob Jeffrey Hampton | Orthotic Fitter | 31 Ruby Bay Lane, Simpsonville, SC 29681 | 2008-10-30 |
| 1942216262 | Katherine E Newton | Orthotic Fitter | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2006-07-31 |
| 1164489191 | O Boyd Gardo Jr. | Orthotic Fitter | 803 N Fant St, Anderson, SC 29621-5707 | 2006-04-26 |
| 1811952146 | Sprinkle Prosthetics Inc. | Orthotic Fitter | 383 S Pine St, Suite A, Spartanburg, SC 29302-2650 | 2006-04-19 |
| 1346886496 | James Edward Newton | Orthotic Fitter | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2019-11-25 |
| 1477860161 | Steven Edward Hamontree | Orthotic Fitter | 1009 Grove Rd, Suite B-1, Greenville, SC 29605-4600 | 2010-09-02 |
| 1376872192 | Jeff Wayne Sprinkle | Orthotic Fitter | 383 S Pine St, A, Spartanburg, SC 29302-2650 | 2009-12-08 |
| 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.