Organization Active NPI

The Clinicians Clinic at the Veil LLC

  • Clinic/Center
  • Orangeburg, SC
National Provider Identifier
1124690342
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE CLINICIANS CLINIC AT THE VEIL LLC
Practice address
968 Dantzler St
Orangeburg, SC 29115-4322
Phone
(803) 809-0003
Fax
(803) 809-0004
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Ms. Novella Jackson
Title
Ceo
Phone
(803) 878-2478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

968 Dantzler St
Orangeburg, SC 29115-4322

Mailing address

968 Dantzler St
Orangeburg, SC 29115-4322
Phone (803) 809-0003

National Provider Directory

National Provider Directory

Locations

968 Dantzler St
Orangeburg, SC 29115
Phone (803) 809-0003

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1124690342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154322",
            "telephone_number": "803-809-0003",
            "fax_number": "844-375-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154322",
            "telephone_number": "803-809-0003",
            "fax_number": "803-809-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINICIANS CLINIC AT THE VEIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NOVELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-878-2478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.