COLUMBIA GASTROENTEROLOGY ASSOCIATES (NPI# 1487040192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487040192 |
| Entity Type | Organization |
| Organization Name | COLUMBIA GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
100 Palmetto Health Pkwy Suite 102 Columbia SC 29212-1753 |
| Practice Telephone | 8039077600 |
| Mailing Telephone | 8039077600 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MARGOT CARROLL (ADMINSTRATIVE COORDINATOR) |
| Authorized Official Telephone | 8037994800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
19286 | SC | Ambulatory Health Care Facilities |
| Street Address |
100 PALMETTO HEALTH PKWY SUITE 102 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447221098 | Eric N Hutto | Family Medicine | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 | 2006-01-31 |
| 1184157356 | Sara Mae Delaney Nelson-owens | Family Medicine | 100 Palmetto Health Pkwy, Columbia, SC 29212-1753 | 2017-04-05 |
| 1457802985 | Palmetto Health | Orthopaedic Surgery | 100 Palmetto Health Pkwy, Suite 320, Columbia, SC 29212-1753 | 2016-10-19 |
| 1336507623 | Sara Brittany Woodberry | Nurse Practitioner | 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 | 2016-02-02 |
| 1649511320 | Palmetto Health | Family Medicine | 100 Palmetto Health Pkwy, Suite 250b, Columbia, SC 29212-1753 | 2013-03-06 |
| 1366781163 | Michelle Lyn Blakley | Nurse Practitioner | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 | 2013-02-14 |
| 1063783942 | James Thomas Miller | Nurse Practitioner | 100 Palmetto Health Pkwy, Columbia, SC 29212 | 2012-01-24 |
| 1467612903 | Palmetto Health | Family Medicine | 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 | 2008-06-09 |
| 1659571347 | Carlos Miguel Torres | Family Medicine | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 | 2007-07-20 |
| 1669678140 | University Specialty Clinics - Ophthalmology | Eyewear Supplier (Equipment, not the service) | 100 Palmetto Health Pkwy, Suite 350, Columbia, SC 29212-1753 | 2007-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417585 | Alexis Jacobs | Clinic/Center | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| 1053875716 | Columbia Health & Wellness Center, LLC | Clinic/Center | 3304 W Broadway Business Park Ct Ste I, Columbia, MO 65203-0109 | 2019-01-28 |
| 1659805927 | Alexandra Johnson | Clinic/Center | 544 Mansfield Ln, Columbia, SC 29203-9098 | 2017-04-13 |
| 1144674532 | Pediatric Hair Solutions Corporation | Clinic/Center | 217 Pickens St, Columbia, SC 29205-2911 | 2016-04-21 |
| 1902164692 | Dr Goodwin & Associates, LLC | Clinic/Center | 9650 Santiago Rd Ste 109, Columbia, MD 21045-3958 | 2012-05-01 |
| 1679731384 | Patrick Tong Md LLC | Clinic/Center | 7120 Minstrel Way Ste 110, Columbia, MD 21045-5274 | 2008-05-29 |
| 1841817426 | Haviland Eye Care Pllc | Clinic/Center | 1301 Trotwood Ave, Columbia, TN 38401-4702 | 2020-06-30 |
| 1548882483 | Two Medicine Clinical Services, LLC | Clinic/Center | 1814 Paris Rd, Columbia, MO 65201-5538 | 2020-05-14 |
| 1417416363 | Integrative Chiropractic & Rehabilitation | Clinic/Center | 7050 Oakland Mills Rd, Columbia, MD 21046-2193 | 2019-03-19 |
| 1588036800 | Devoted Care and Transition Services-hospice, LLC | Clinic/Center | 1107 Belleview St, Columbia, SC 29201-1810 | 2015-10-26 |
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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.