Active NPI
Jacquelyn A Going, MD
- Otolaryngology Physician
- Columbia, SC
National Provider Identifier
1265469969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 8384
- Practice address
- 9 Richland Medical Park
Ste 510
Columbia, SC 29203-6860 - Phone
- (803) 256-2483
- Fax
- (803) 799-4624
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 8384 | SC | Primary |
Addresses
Primary practice location
9 Richland Medical Park
Ste 510
Columbia, SC 29203-6860
Mailing address
9 Richland Medical Park
Ste 510
Columbia, SC 29203-6860
Phone (803) 256-2483
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20068859 | Other | SELECT HEALTH | |
| DC6996 | Other | MEDICARE RAILROAD GROUP NUMBER | |
| P00184835 | Other | MEDICARE RAILROAD | |
| 083849 | Medicaid | SC | |
| PA1382 | Other | MEDICAID GROUP NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8384 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1265469969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 RICHLAND MEDICAL PARK",
"address_2": "STE 510",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036860",
"telephone_number": "803-256-2483",
"fax_number": "803-799-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RICHLAND MEDICAL PARK",
"address_2": "STE 510",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036860",
"telephone_number": "803-256-2483",
"fax_number": "803-799-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOING",
"first_name": "JACQUELYN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "8384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "20068859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP NUMBER",
"identifier": "DC6996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00184835",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083849",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "PA1382",
"state": null
}
],
"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 Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.