Organization Active NPI

Forest Drive Primary Care

  • Public Health & General Preventive Medicine Physician
  • Columbia, SC
National Provider Identifier
1245998194
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
FOREST DRIVE PRIMARY CARE
Practice address
5101 Forest Dr Ste C
Columbia, SC 29206-5414
Phone
(803) 318-2811
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Darin FallerNPI 1326539206
Title
Partner
Phone
(803) 318-2811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

5101 Forest Dr Ste C
Columbia, SC 29206-5414

Mailing address

5101 Forest Dr Ste C
Columbia, SC 29206-5414
Phone (803) 318-2811

National Provider Directory

National Provider Directory

Locations

5101 Forest Dr
Ste C
Columbia, SC 29206
Phone (803) 318-2811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1245998194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065414",
            "telephone_number": "803-318-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065414",
            "telephone_number": "803-318-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST DRIVE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "FALLER",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-318-2811"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "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 Dec 7, 2021; 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.