Individual provider Active NPI

Colin Robert Anderson, MD

  • Internal Medicine Physician
  • CH, SC
National Provider Identifier
1023571122
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
89576 Issued in SC
Practice address
135 Rutledge Tower Rutledge Tower. M
CH, SC 29425-0001
Phone
(843) 792-2900
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 66092 AZ
Internal Medicine Physician 207R00000X 89576 SC Primary
Internal Medicine Physician 207R00000X R77234 AZ

Addresses

Primary practice location

135 Rutledge Tower Rutledge Tower. M
CH, SC 29425-0001

Mailing address

135 Rutledge Ave Rutledge Tower. MSC Code: 591
Charleston, SC 29425
Phone (843) 792-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230703002183 SC Practitioner - HospitalistPractitioner - Internal Medicine 6103151550 Reassigns benefits to 1 organization
I20240813003077 AL Practitioner - Internal Medicine 6103151550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Mountain Group Services, LLCGroup PAC ID 3678886256, 62 clinicians

Practice addresses (Care Compare)

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66092AZMDInternal Medicine Physician
R77234AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince Jun 14, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 14, 2023 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jul 1, 2024 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jul 1, 2024 Accepting new patients
Affinity Hospital LLC Past Accepting new patients

Locations

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

135 Rutledge Ave
#M
Charleston, SC 29425
Phone (843) 792-2900

135 Rutledge Ave
#591
Charleston, SC 29425
Phone (843) 792-4074

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1023571122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RUTLEDGE AVE RUTLEDGE TOWER. MSC CODE: 591",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RUTLEDGE TOWER RUTLEDGE TOWER. M",
            "city": "CH",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "COLIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "66092",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "89576",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R77234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.