Organization Active NPI

Digestive Disease Associates of York Coutny PA

  • Specialist
  • Rock Hill, SC
National Provider Identifier
1083679427
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA
Practice address
170 Amendment Ave
Rock Hill, SC 29732-3073
Phone
(803) 324-7607
Fax
(803) 324-1449
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Stephen J Bott, MDNPI 1255392072
Title
Partner
Phone
(803) 324-7607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

170 Amendment Ave
Rock Hill, SC 29732-3073

Mailing address

170 Amendment Ave
Rock Hill, SC 29732-3073
Phone (803) 324-7607

Other identifiers 1

IdentifierTypeStateIssuer
PCO664MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000061 SC Part B Supplier - Clinic/Group Practice 6002892619 Receives reassigned benefits from 9 practitioners
Practice locations: Rock Hill, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0857828Digestive Disease Associates of York County, PA170 Amendment Avenue, Rock Hill, SC 29732ComplianceJul 8, 2027

National Provider Directory

National Provider Directory

Locations

170 Amendment Ave
Rock Hill, SC 29732
Phone (803) 324-7607

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1083679427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323073",
            "telephone_number": "803-324-7607",
            "fax_number": "803-324-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323073",
            "telephone_number": "803-324-7607",
            "fax_number": "803-324-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "BOTT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-324-7607",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCO664",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.