Carolina Family Practice

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CAROLINA FAMILY PRACTICE

Practice address

1410 Blanding St Ste 102
Columbia, SC 29201

Phone

(803) 256-2500

Fax

(803) 777-2027

NPI assigned

Jul 7, 2006

Last updated

Jun 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William D. Anderson III, MD

Title

Cmo

Phone

(803) 777-3861

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Hollingsworth Davis, APRN, PCNP

  • Pediatric Nurse Practitioner
  • Columbia, SC
  • NPI 1770943235
  NPD (past)
• Linda O Morphis, N.P.

  • Women's Health Nurse Practitioner
  • Columbia, SC
  • NPI 1962455675
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1063444347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5731",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505731",
            "telephone_number": "803-256-2500",
            "fax_number": "803-758-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-256-2500",
            "fax_number": "803-777-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "803-777-3861",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3197",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Eye and Ear Associates LLC
• Carolina Eye Clinic LLC
• Carolina Family Pharmacy
• Carolina Family Pharmacy, LLC
• Carolina Family Podiatry,LLC
• Carolina Family Wellness Clinic, LLC
• Carolina Family Wellness Collaborative
• Carolina Foot Clinic, P.C.
• Carolina Glaucoma and Vision Center
• Carolina Gold Construction, LLC

• Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.