NPIMap

Organization Active NPI

Goldenrod Logistics Monitoring LLC

  • Neurology Physician
  • West Columbia, SC
National Provider Identifier
1184142176
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GOLDENROD LOGISTICS MONITORING LLC
Practice address
1304 Sunset Blvd # 203
West Columbia, SC 29169-5914
Phone
(866) 374-6628
Fax
(866) 951-1120
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Kelly McClintock, CPCO
Title
Compliance Officer
Phone
(866) 374-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1304 Sunset Blvd # 203
West Columbia, SC 29169-5914

Mailing address

1304 Sunset Blvd
PMB 203
West Columbia, SC 29169-5914
Phone (866) 374-6628

National Provider Directory

National Provider Directory

Locations

1304 Sunset Blvd
West Columbia, SC 29169
Phone (803) 594-3300

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1184142176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 SUNSET BLVD",
            "address_2": "PMB 203",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695914",
            "telephone_number": "866-374-6628",
            "fax_number": "866-951-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SUNSET BLVD # 203",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695914",
            "telephone_number": "866-374-6628",
            "fax_number": "866-951-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENROD LOGISTICS MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "866-374-6628",
        "authorized_official_credential": "CPCO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2025; 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.