Organization Active NPI

Big Brothers Big Sisters of GR. Columbia

  • Voluntary or Charitable Agency
  • Columbia, SC
National Provider Identifier
1124109699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
BIG BROTHERS BIG SISTERS OF GR. COLUMBIA
Practice address
4300 North Main Street
Suite 200
Columbia, SC 29203-5950
Phone
(803) 691-5700
Fax
(803) 691-5701
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Julie Tovey
Title
President/Ceo
Phone
(803) 691-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

4300 North Main Street
Suite 200
Columbia, SC 29203-5950

Mailing address

4300 North Main Street
Suite 200
Columbia, SC 29203-5950
Phone (803) 691-5700

Other identifiers 1

IdentifierTypeStateIssuer
MC0028OtherSCSC MEDICAID PROVIDER NO.

National Provider Directory

National Provider Directory

Locations

4300 N Main St
Ste 200
Columbia, SC 29203
Phone (803) 691-5700

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124109699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NORTH MAIN STREET",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035950",
            "telephone_number": "803-691-5700",
            "fax_number": "803-691-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 NORTH MAIN STREET",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035950",
            "telephone_number": "803-691-5700",
            "fax_number": "803-691-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BROTHERS BIG SISTERS OF GR. COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOVEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "803-691-5700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID PROVIDER NO.",
            "identifier": "MC0028",
            "state": "SC"
        }
    ],
    "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 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.