NPIMap

Organization Active NPI

State of South Carolina

  • Public Health or Welfare Agency
  • Pickens, SC
National Provider Identifier
1043396161
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF SOUTH CAROLINA
Practice address
200 McDaniel Avenue
Pickens, SC 29671
Phone
(864) 898-5965
Fax
(864) 898-5568
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Zanna Perkins
Title
Director Patient Billing
Phone
(803) 898-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

200 McDaniel Avenue
Pickens, SC 29671

Mailing address

400 Otarre Pkwy
Cayce, SC 29033-3751
Phone (803) 898-1553

Other identifiers 3

IdentifierTypeStateIssuer
601245OtherSCSELECT HEALTH PROVIDER #
DHEC39MedicaidSC
000000155819OtherSCUNISON HEALTH PLAN OF SC

Other names 2

  • SC Department of Public Health Doing business as
  • SCDPH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000393 SC Part B Supplier - Public Health/Welfare Agency 4789650003 45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ridgeland, SC; Pickens, SC; Orangeburg, SC; Newberry, SC; N Charleston, SC; Moncks Corner, SC; McCormick, SC; Manning, SC…

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory
Tax ID family
SC Dept of Health and Environmental Control280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

200 McDaniel Ave
Pickens, SC 29671
Phone (864) 898-5839

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1043396161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OTARRE PKWY",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333751",
            "telephone_number": "803-898-1553",
            "fax_number": "803-898-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCDANIEL AVENUE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "29671",
            "telephone_number": "864-898-5965",
            "fax_number": "864-898-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "ZANNA",
        "authorized_official_title_or_position": "DIRECTOR PATIENT BILLING",
        "authorized_official_telephone_number": "803-898-1553"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER #",
            "identifier": "601245",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DHEC39",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000155819",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCDPH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.