NPIMap

Organization Active NPI

State of South Carolina

  • Public Health or Welfare Agency
  • Camden, SC
National Provider Identifier
1124102306
Registry record updated Aug 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
1116 Church Street
Camden, SC 29020
Phone
(803) 425-6012
Fax
(803) 424-1611
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 45

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

View all 45

Practitioners 7

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

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…

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

1116 Church St
Camden, SC 29020
Phone (803) 425-6012

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1116 Church Street
Camden, SC 29020

Mailing address

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

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
000000155824OtherSCUNISON HEALTH PLAN OF SC
DHEC28MedicaidSC
601248OtherSCSELECT HEALTH PROVIDER #

Other names 3

NPPES NPI Registry
  • SC DHEC Doing business as
  • SC DPH Doing business as
  • SC Department of Public Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2025.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1124102306",
    "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": "1116 CHURCH STREET",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-425-6012",
            "fax_number": "803-424-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "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": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000155824",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DHEC28",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER #",
            "identifier": "601248",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC DHEC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SC DPH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SC Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, SC

Sources for this page

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