NPIMap

Organization Active NPI

Injury Medical Centers of South Carolina, LLC

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1215323969
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31618 Issued in SC
Legal business name
INJURY MEDICAL CENTERS OF SOUTH CAROLINA, LLC
Practice address
208 Shallow Brook Dr
Columbia, SC 29223-8110
Phone
(434) 444-2705
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. John F Mattei, M.D.
Title
President
Phone
(803) 786-0559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 31618 SC Primary

Addresses

Primary practice location

208 Shallow Brook Dr
Columbia, SC 29223-8110

Mailing address

208 Shallow Brook Dr
Columbia, SC 29223-8110
Phone (434) 444-2705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1215323969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SHALLOW BROOK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238110",
            "telephone_number": "434-444-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SHALLOW BROOK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238110",
            "telephone_number": "434-444-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY MEDICAL CENTERS OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "MATTEI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-786-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31618",
            "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 Apr 20, 2015; 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.