JMP FAMILY PRACTICE INCORPORATED (NPI# 1740626621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740626621 |
| Entity Type | Organization |
| Organization Name | JMP FAMILY PRACTICE INCORPORATED |
| Other Organization Name | DOCTORS EXPRESS |
| Practice Address |
3304 Forest Dr Columbia SC 29204-4024 |
| Mailing Address |
Po Box 290192 Columbia SC 29229-0004 |
| Practice Telephone | 8037873901 |
| Practice Fax Number | 8037873902 |
| Mailing Telephone | 8037873901 |
| Mailing Fax Number | 8037873902 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | DAWN RICHARDSON (VICE PRESIDENT) |
| Authorized Official Telephone | 8033866374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Doctors Express | Doing Business As Name - Organization |
| Street Address |
3304 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121078 | Joseph John Krupa IIi | Dentist | 3304 Forest Dr, Columbia, SC 29204-4024 | 2006-11-15 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1568877439 | Maxine Myers | Nurse Practitioner | 3304 Forest Dr, Columbia, SC 29204-4024 | 2014-06-30 |
| 1740590157 | Forest Drive Physicians | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2010-10-19 |
| 1104135763 | Ja-rem Enterprises | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2010-09-30 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302152 | Holistic Pediatric Ot, Inc. | Clinic/Center | 1606 E Nancy Ct, Columbia, MO 65201-9359 | 2019-08-19 |
| 1497249874 | Testing | Clinic/Center | 4100 N Main St Ste 104, Columbia, SC 29203-5800 | 2018-06-19 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1285176727 | Intrinsic Chiropractic and Wellness Clinic, LLC | Clinic/Center | 1825 Barnwell St, Columbia, SC 29201-2601 | 2016-11-15 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1265784912 | Aids Healthcare Foundation | Clinic/Center | 4100 N Main St Ste 102, Columbia, SC 29203-5800 | 2012-10-04 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| 1700166360 | Neurology Clinic of Maryland, Inc. | Clinic/Center | 10770 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2011-08-26 |
| 1659682938 | Walk In Medical Clinic | Clinic/Center | 900 Rain Forest Pkwy Ste B, Columbia, MO 65202-3796 | 2010-07-01 |
| 1225210420 | Grant Chiropractic Center, Inc | Clinic/Center | 908 Russell Rd, Columbia, KY 42728-1036 | 2007-11-29 |
| 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.