Organization Active NPI

Vital Glow- Men'S and Women'S Health

  • General Practice Physician
  • Columbia, SC
National Provider Identifier
1033050547
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jun 15, 2026

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.