CAROLINA HEALTHCHOICE OF COLUMBIA, LLC (NPI# 1922511658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922511658 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTHCHOICE OF COLUMBIA, LLC |
| Practice Address |
1494 Lake Murray Blvd Columbia SC 29212-8697 |
| Practice Telephone | 8037640464 |
| Practice Fax Number | 8037643126 |
| Mailing Telephone | 8037640464 |
| Mailing Fax Number | 8037643126 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | CHARLES SLOAN (CFO) |
| Authorized Official Telephone | 8037640464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1494 LAKE MURRAY BLVD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-8697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396161808 | Southeast Neuropathy & Treatment Center, LLC | Clinic/Center | 1494 Lake Murray Blvd, 1st Floor, Columbia, SC 29212-8697 | 2014-03-07 |
| 1659893204 | Jessica Lauren Drake | Nurse Practitioner | 1494 Lake Murray Blvd, Columbia, SC 29212 | 2017-07-14 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1235648551 | Robert Calaluce | General Practice | 140 Walter Williams Hall, Columbia, MO 65211-1200 | 2017-09-29 |
| 1013301738 | Harold Woodliff Sanford Jr. | General Practice | 1829 Senate St Apt 9c, Columbia, SC 29201-3837 | 2015-03-19 |
| 1710383435 | Epoch - Central Missouri Limited Liability Company | General Practice | 2900 Trimble Rd., Columbia, MO 65201-6465 | 2014-11-06 |
| 1396093068 | Inder S Gujral | General Practice | 8795 Endless Ocean Way, Columbia, MD 21045-5938 | 2012-08-28 |
| 1407104482 | Gary Mosher Jones | General Practice | 2004 Riding Ridge Rd, Columbia, SC 29223-6713 | 2012-08-22 |
| 1972861854 | William Frederick Mcfadden | General Practice | 3121 Chinaberry Dr, Columbia, SC 29204-3664 | 2012-04-27 |
| 1215255617 | Barr Enterprises,llc | General Practice | 112 Norse Dr, Columbia, SC 29229-3304 | 2010-05-10 |
| 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.