Three Rivers Medical Associates, PA
Organization Active NPI Internal Medicine Physician · Columbia, SC
NPI 1194468538 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1194468538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- THREE RIVERS MEDICAL ASSOCIATES, PA
- Practice address
- 1931 Bull St
Columbia, SC 29201-2560 - Phone
- (839) 200-7822
- Fax
- (803) 891-7085
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
Authorized official
- Name
- John Gould III, MD
- Title
- President
- Phone
- (839) 200-7810
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 4
Practitioners 2
-
Dana Mairi Nairn, MD
-
Rachel E. Yaghi, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031210000142 | SC | Part B Supplier - Clinic/Group Practice | 1557267663 |
Receives reassigned benefits from 19 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbia, SC; Irmo, SC |
National Provider Directory
- Tax ID family
- Three Rivers Medical Associates PA
Locations
1931 Bull St
Columbia, SC 29201
Phone (803) 767-4832
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1931 Bull St
Columbia, SC 29201-2560
Mailing address
1931 Bull St
Columbia, SC 29201-2560
Phone (839) 200-7822
Other providers in Columbia, SC
- Mahelet Thorp
- Francis M Thorpe Jr.
- Rachel Lauren Thorpe
- Tiffaney B Threatt
- Three Rivers Medical Associates, PA
- Three Rivers Medical Associates, PA
- Three Rivers Medical Associates, PA
- Three Rivers OB/GYN Associates, PA
- Celina Thresher
- Thrive With Me Therapy LLC
All providers in Columbia, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.