NPIMap

Organization Active NPI

University of South Carolina

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1063713451
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-09-5360 Issued in SC
Legal business name
UNIVERSITY OF SOUTH CAROLINA
Practice address
8301 Farrow Road
Collaborative Building a
Columbia, SC 29203-3245
Phone
(803) 434-7950
Fax
(803) 434-8606
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH CAROLINAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Mr. Jeffrey L Perkins, CPA, CIA, CHFP, MBA
Title
Chief Business Officer
Phone
(803) 733-3213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-09-5360 SC Primary

Addresses

Primary practice location

8301 Farrow Road
Collaborative Building a
Columbia, SC 29203-3245

Mailing address

Center for Disability Resources, Pediatrics
School of Medicine, University of South Carolina
Columbia, SC 29208-0001
Phone (803) 434-7950

National Provider Directory

National Provider Directory
Tax ID family
University of South Carolina Physical Therapy Clinic12 organizations share this tax ID, including this one
Part of
University of South Carolina Physical Therapy Clinic

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8301 Farrow Rd
Bldg A
Columbia, SC 29203

Ctr For Disability Resources Pediatrics
Columbia, SC 29208

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1063713451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTER FOR DISABILITY RESOURCES, PEDIATRICS",
            "address_2": "SCHOOL OF MEDICINE, UNIVERSITY OF SOUTH CAROLINA",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292080001",
            "telephone_number": "803-434-7950",
            "fax_number": "803-434-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 FARROW ROAD",
            "address_2": "COLLABORATIVE BUILDING A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033245",
            "telephone_number": "803-434-7950",
            "fax_number": "803-434-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH CAROLINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH CAROLINA",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF BUSINESS OFFICER",
        "authorized_official_telephone_number": "803-733-3213",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, CIA, CHFP, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "1-09-5360",
            "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 Nov 16, 2010; 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.