Sleep Center of Columbia

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

1808 Issued in SC

Legal business name

SLEEP CENTER OF COLUMBIA

Practice address

1 Wellness Blvd
Suite103
Irmo, SC 29063-2871

Phone

(803) 732-2433

Fax

(803) 732-2624

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Shelbourne

Title

Manager

Phone

(803) 732-2433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053464792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE103",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-732-2433",
            "fax_number": "803-732-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE103",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-732-2433",
            "fax_number": "803-732-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTER OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELBOURNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-732-2433"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "SC",
            "license": "1808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Simon
• Josephine De Leon Sims, PHYSICAL THERAPIST
• Noveliza Singleton, APRN
• Amanda W Slater, F.N.P.
• Morgan Elizabeth Slayton
• Emily Slominski
• Barry Foster Smith, L..P.C.
• Frederic A Smith, MD
• Ian Smith, MD
• Rosalyn Denise Smith, LISW-CP

• Sleep Disorder Diagnostic Clinic/Center in Irmo, SC
• Providers in Irmo, SC by specialty
• Sleep Disorder Diagnostic Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.