Organization Active NPI

Internal Medicine Associates of Columbia, PA

  • Primary Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1265440705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERNAL MEDICINE ASSOCIATES OF COLUMBIA, PA
Practice address
2719 Middleburg Dr
Suite 201
Columbia, SC 29204-2414
Phone
(803) 256-6828
Fax
(803) 256-6827
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yohannes Negash, M.D.NPI 1245296433
Title
President
Phone
(803) 256-6828

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2719 Middleburg Dr
Suite 201
Columbia, SC 29204-2414

Mailing address

2719 Middleburg Dr
Suite 201
Columbia, SC 29204-2414
Phone (803) 256-6828

Other identifiers 1

IdentifierTypeStateIssuer
GP3800MedicaidSC

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Locations

2719 Middleburg Dr
Ste 201
Columbia, SC 29204
Phone (803) 256-6828

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265440705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-256-6828",
            "fax_number": "803-256-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-256-6828",
            "fax_number": "803-256-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF COLUMBIA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEGASH",
        "authorized_official_first_name": "YOHANNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-256-6828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3800",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.