NPIMap

Organization Active NPI

Doctors Care SC, PA

Doing business as Doctors Care Aiken Mall

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1184963118
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORS CARE SC, PA
Doing business as
Doctors Care Aiken Mall
Practice address
850 Aiken Mall Dr
Aiken, SC 29803-7689
Phone
(803) 648-1464
Fax
(803) 649-2027
NPI assigned
Feb 12, 2013
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Dr. Shelley Janssen, MD
Title
Chief Medical Officer
Phone
(803) 782-4278

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

850 Aiken Mall Dr
Aiken, SC 29803-7689

Mailing address

1818 Henderson St
Columbia, SC 29201-2619
Phone (803) 758-2600

Other identifiers 1

IdentifierTypeStateIssuer
GP0079MedicaidSC

Other names 1

  • Doctors Care Aiken Mall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctors Care of South63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1184963118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HENDERSON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012619",
            "telephone_number": "803-758-2600",
            "fax_number": "803-253-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 AIKEN MALL DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037689",
            "telephone_number": "803-648-1464",
            "fax_number": "803-649-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CARE SC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "803-782-4278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0079",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Care Aiken Mall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Care Aiken Mall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.