Organization Active NPI

Arthritis Consultants, P.a.

  • Rheumatology Physician
  • Columbia, SC
National Provider Identifier
1023081189
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ARTHRITIS CONSULTANTS, P.A.
Practice address
3 Richland Medical Park
Suite 240
Columbia, SC 29203-6849
Phone
(803) 765-1550
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelli Kelleher, MBA, CPPM, CRMS
Title
Practice Manager
Phone
(803) 765-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X SC Primary

Addresses

Primary practice location

3 Richland Medical Park
Suite 240
Columbia, SC 29203-6849

Mailing address

3 Richland Medical Park
Suite 240
Columbia, SC 29203-6849

Other identifiers 1

IdentifierTypeStateIssuer
GP0048MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000915 SC Part B Supplier - Clinic/Group Practice 4981746948 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

3 Richland Medical Park Dr
Ste 240
Columbia, SC 29203
Phone (803) 765-1550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1023081189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036849",
            "telephone_number": "803-765-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-765-1550",
        "authorized_official_credential": "MBA, CPPM, CRMS"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.