Active NPI
Samuel C Collier
- Psychiatry Physician
- Beaufort, SC
National Provider Identifier
1235698663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102206260
- Practice address
- 598 Geiger Blvd
Beaufort, SC 29904-5020 - Phone
- (843) 228-7566
- NPI assigned
- Mar 15, 2019
- Last updated
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102206260 | VA | Primary |
Addresses
Primary practice location
598 Geiger Blvd
Beaufort, SC 29904-5020
Mailing address
PO Box 55020
Beaufort, SC 29904-5020
Phone (843) 228-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206260 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1235698663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55020",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299045020",
"telephone_number": "843-228-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 GEIGER BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299045020",
"telephone_number": "843-228-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "SAMUEL",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102206260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.