NPIMap

South Carolina Dept of Mental Health Accounting Office

A Medicare group practice based in Columbia, SC: 42 NPIs enrolled under one PECOS associate control ID (PAC ID 9032021175), with 491 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032021175The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
11
Group size
226 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
79In 48 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20090804000175 SC Part A Provider - Hospital 1265452619
O20031105000630 SC Part B Supplier - Clinic/Group Practice 1376595041
O20031107000041 SC Part B Supplier - Clinic/Group Practice 1295332690
O20031215000552 SC Part B Supplier - Clinic/Group Practice 1760596480
O20040303000705 SC Part B Supplier - Clinic/Group Practice 1356397228
O20050804000388 SC Part B Supplier - Clinic/Group Practice 1831200310
O20040624000139 SC Part B Supplier - Clinic/Group Practice 1619995370
O20071217000080 SC Part B Supplier - Clinic/Group Practice 1902476443
O20061207000168 SC Part A Provider - Skilled Nursing Facility 1437179785
O20061211000074 SC Part A Provider - Skilled Nursing Facility 1316972722
O20200214000262 SC Part A Provider - Hospital 1245255389

NPIs in this group 42

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (8)
  • Varnville, SC1
  • North Augusta, SC1
  • Moncks Corner, SC1
  • Barnwell, SC1
  • Conway, SC1
  • Goose Creek, SC1
  • Orangeburg, SC1
  • Loris, SC1

Clinicians 491

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (491) or whom Care Compare lists as members (226).

Sources for this page