FAMILY MEDICINE CENTERS OF SOUTH CAROLINA (NPI# 1568555753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568555753 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE CENTERS OF SOUTH CAROLINA |
| Other Organization Name | SPRINGWOOD LAKE FAMILY PRACTICE |
| Practice Address |
1721 Horseshoe Dr Columbia SC 29223-6281 |
| Mailing Address |
1910 Gregg St Columbia SC 29201-2618 |
| Practice Telephone | 8037791420 |
| Practice Fax Number | 8039310676 |
| Mailing Telephone | 8037791420 |
| Mailing Fax Number | 8039310676 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | DR. STEPHEN F SERBIN (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8037791420 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY MECICINE CENTERS OF SOUTH CAROLINA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3424 | 05 |
| Other Name | Type Code |
|---|---|
| SPRINGWOOD LAKE FAMILY PRACTICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538467808 | Family Medicine Centers of South Carolina | Clinic/Center | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2011-03-10 |
| 1649350273 | Family Medicine Centers of South Carolina | Clinic/Center | 1910 Gregg St, Columbia, SC 29201-2618 | 2006-10-17 |
| Street Address |
1721 HORSESHOE DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992715684 | Stephen F Serbin | Family Medicine | 1721 Horseshoe Dr, Columbia, SC 29223-6281 | 2006-08-08 |
| 1366922866 | Jerri Nicole Newton | Family Medicine | 1721 Horseshoe Dr, Columbia, SC 29223-6281 | 2018-08-15 |
| 1841797081 | Springwood Lake Primary Care, LLC | Clinic/Center | 1721 Horseshoe Dr, Columbia, SC 29223-6281 | 2018-04-12 |
| 1447260062 | Peter J Stahl | Family Medicine | 1721 Horseshoe Dr, Columbia, SC 29223-6281 | 2006-08-08 |
| 1578573127 | Bhavesh R Amin | Family Medicine | 1721 Horseshoe Dr, Columbia, SC 29223-6281 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389046 | Columbia Medical | Clinic/Center | 7937 Highway 165, Columbia, LA 71418-3327 | 2018-03-13 |
| 1386063675 | U.n.i. Medical Care, Inc | Clinic/Center | 6490 Dobbin Center Way, Suite C, Columbia, MD 21045-4728 | 2014-04-15 |
| 1740538768 | River of Life Health Center | Clinic/Center | 291 S 4th St, Columbia, PA 17512-1731 | 2012-08-23 |
| 1942504626 | Able Health, LLC | Clinic/Center | 12a Russmar Trl, Columbia, CT 06237-1416 | 2011-01-10 |
| 1881726925 | Jill Murphey,md PC | Clinic/Center | 1701 E Broadway Ste 101, Broadway Plaza IIi, Columbia, MO 65201-8018 | 2007-03-12 |
| 1265525455 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 813 Leesburg Rd, Columbia, SC 29209-2127 | 2006-10-02 |
| 1265525463 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 300 Rice Meadow Way, Columbia, SC 29229-9466 | 2006-10-02 |
| 1215996046 | Wilson Internal Medicine Pa | Clinic/Center | 4840 Forest Dr, Box 255, Columbia, SC 29206-4810 | 2006-03-21 |
| 1508825340 | Palmetto Family Medicine | Clinic/Center | 109 Barton Creek Court, Columbia, SC 29229-8027 | 2006-03-21 |
| 1942820519 | Stephen Anthony Fuselli | Clinic/Center | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-04-23 |
| 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.