Organization Active NPI

South Carolina Pediatrics Alliance, LLC

  • Pediatric Adolescent Medicine Physician
  • Columbia, SC
National Provider Identifier
1184016941
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC
Practice address
601 Clemson Rd
Columbia, SC 29229-4341
Phone
(803) 788-6146
Fax
(803) 462-0312
NPI assigned
Mar 3, 2015
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Sarah Grubbs
Title
Cfo
Phone
(803) 788-6146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

601 Clemson Rd
Columbia, SC 29229-4341

Mailing address

601 Clemson Rd
Columbia, SC 29229-4341
Phone (803) 788-6146

National Provider Directory

National Provider Directory

Locations

110 Summit Centre Dr
Columbia, SC 29229
Phone (803) 449-0007

140 Park Central Dr
Columbia, SC 29203
Phone (803) 779-4001

601 Clemson Rd
Columbia, SC 29229
Phone (803) 788-4886

7428 Broad River Rd
Irmo, SC 29063
Phone (803) 732-0140

1970 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-2370

4568 Sunset Blvd
Lexington, SC 29072
Phone (803) 520-5144

101 Sum Mor Dr
West Columbia, SC 29169
Phone (803) 796-9200

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1184016941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294341",
            "telephone_number": "803-788-6146",
            "fax_number": "803-462-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294341",
            "telephone_number": "803-788-6146",
            "fax_number": "803-462-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-788-6146"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 11, 2019; 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.