Active NPI
Columbia Cardiology, LLC
- Specialist
- West Columbia, SC
National Provider Identifier
1124222807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- COLUMBIA CARDIOLOGY, LLC
- Practice address
- 131 Sunset Court
West Columbia, SC 29169-3405 - Phone
- (803) 744-4900
- Fax
- (803) 499-2621
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy B Brown
- Title
- Bus. Office Supervisor
- Phone
- (803) 744-2612
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X |
Addresses
Primary practice location
131 Sunset Court
West Columbia, SC 29169-3405
Mailing address
PO Box 4187
Columbia, SC 29240-4187
Phone (803) 744-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3493 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Columbia Cardiology Con
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1750544912
-
- Cardiovascular Disease Physician
- Columbia, SC
- NPI 1730321035
Locations
2601 Laurel St
Ste 260
Columbia, SC 29204
Phone (803) 744-7900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1124222807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4187",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292404187",
"telephone_number": "803-744-4900",
"fax_number": "803-744-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SUNSET COURT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693405",
"telephone_number": "803-744-4900",
"fax_number": "803-499-2621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA CARDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BUS. OFFICE SUPERVISOR",
"authorized_official_telephone_number": "803-744-2612"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3493",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.