Active NPI
Vital Glow- Men'S and Women'S Health
- General Practice Physician
- Columbia, SC
National Provider Identifier
1033050547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- VITAL GLOW- MEN'S AND WOMEN'S HEALTH
- Practice address
- 1494 Lake Murray Blvd Ste a
Columbia, SC 29212-8697 - Phone
- (803) 470-6654
- NPI assigned
- Apr 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Danbury, NP
- Title
- Owner
- Phone
- (803) 883-2345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1494 Lake Murray Blvd Ste a
Columbia, SC 29212-8697
Mailing address
1494 Lake Murray Blvd Ste a
Columbia, SC 29212-8697
Phone (803) 883-2345
National Provider Directory
National Provider DirectoryLocations
1494 Lake Murray Blvd
Ste A
Columbia, SC 29212
Phone (803) 470-6654
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1629850987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1033050547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 LAKE MURRAY BLVD STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128697",
"telephone_number": "803-883-2345",
"fax_number": "803-883-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1494 LAKE MURRAY BLVD STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128697",
"telephone_number": "803-470-6654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL GLOW- MEN'S AND WOMEN'S HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-01",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "DANBURY",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-883-2345",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Vistara Columbia LLC
- Vitae Health Medical South Carolina LLC
- Vital Access LLC
- Vital Energy Occupational Therapy & Wellness Center
- Vital Energy Occupational Therapy & Wellness Ctr
- Vital Pathway Home Health LLC
- Vital Strength Internal Medicine
- Sindhu Vithayathil
- Vizer Wellness Clinic LLC
- Kim Van Vo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.