PEDIATRIC ASSOCIATES, P.A. (NPI# 1447383666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447383666 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES, P.A. |
| Practice Address |
14 Richland Medical Park Dr Suite 410 Columbia SC 29203-6877 |
| Practice Telephone | 8037999044 |
| Practice Fax Number | 8032568119 |
| Mailing Telephone | 8037999044 |
| Mailing Fax Number | 8032568119 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES GUY CASTLES III (PRESIDENT) |
| Authorized Official Telephone | 8037999044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | PC074 | SC | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275638033 | Pediatric Associates, P.a. | Pediatrics | 14 Richland Medical Park Dr, Ste. 410, Columbia, SC 29203-6877 | 2006-09-14 |
| Street Address |
14 RICHLAND MEDICAL PARK DR SUITE 410 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
| 1245616598 | Adila Muhsina Abdul-karim | Nurse Practitioner | 14 Richland Medical Park Dr, Suite 320, Columbia, SC 29203-6877 | 2015-08-09 |
| 1780005827 | Palmetto Health | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2013-12-16 |
| 1508206426 | Erica Lawlor Jordan | Internal Medicine | 14 Richland Medical Park Dr, Columbia, SC 29203-6877 | 2013-06-25 |
| 1982049151 | Rachel Lauren Thorpe | Emergency Medicine | 14 Richland Medical Park Dr, Suite 350, Columbia, SC 29203-6877 | 2013-05-01 |
| 1629319512 | Katherine E. Mollo | Pediatrics | 14 Richland Medical Park Dr, Suite 400, Columbia, SC 29203-6877 | 2013-03-03 |
| 1538417977 | Ashley Stover Kinney | Physician Assistant | 14 Richland Medical Park Dr, Ste 350, Columbia, SC 29203-6877 | 2012-08-15 |
| 1154686582 | Laura Anne Dalsanto | Internal Medicine | 14 Richland Medical Park Dr, Columbia, SC 29203-6877 | 2012-07-11 |
| 1073876082 | Erin Massey Mcelveen | Internal Medicine | 14 Richland Medical Park Dr, Suite 320, Columbia, SC 29203-6877 | 2012-06-25 |
| 1235492240 | Alex Stewart Mcpherson | Internal Medicine | 14 Richland Medical Park Dr, Suite 320, Columbia, SC 29203 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1033454459 | Precious Hands Personal Care LLC | Preferred Provider Organization | 169 Rankin Rd, Columbia, MS 39429-3715 | 2012-12-11 |
| 1619122504 | Prevention &management Outreach Clinic Inc. | Preferred Provider Organization | 5941 Millrace Ct Unit D103, Columbia, MD 21045-7204 | 2008-11-19 |
| 1619154499 | Atkinson Group Inc | Preferred Provider Organization | 1400 Farrington Way Apt C, Columbia, SC 29210-6075 | 2008-01-23 |
| 1023488657 | Blessing Many Souls | Preferred Provider Organization | 502 Washington St, Columbia, MS 39429-8711 | 2015-09-24 |
| 1710222476 | Columbia Implants and Periodontics L.L.C. | Preferred Provider Organization | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-12-06 |
| 1780968347 | Counseling and Innovative Treatment Services | Preferred Provider Organization | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2011-09-30 |
| 1386882017 | Abundant Home Care Solutions LLC | Preferred Provider Organization | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2009-02-03 |
| 1164644142 | Peter Dexheimer Pa | Preferred Provider Organization | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2007-05-02 |
| 1487759940 | First Presbyterian Church Counseling Center, Inc. | Preferred Provider Organization | 1500 Lady St, Columbia, SC 29201-3402 | 2006-09-13 |
| Find all providers in COLUMBIA | ||||
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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.