Carolina Neuro Specialists

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

14997 Issued in SC

Legal business name

CAROLINA NEURO SPECIALISTS

Practice address

109 Midlands CT Ste a
West Columbia, SC 29169-3456

Phone

(803) 926-1515

Fax

(803) 926-3740

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Rene Samuels, M.D.NPI 1164492021

Title

Ceo

Phone

(803) 926-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Victoria R Samuels, M.D.

  • Surgery Physician
  • Goldsboro, NC
  • NPI 1164492021

  Neurological Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1275602153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MIDLANDS CT STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693456",
            "telephone_number": "803-926-1515",
            "fax_number": "803-926-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MIDLANDS CT STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693456",
            "telephone_number": "803-926-1515",
            "fax_number": "803-926-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEURO SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-926-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "14997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPO637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Ambulance Service of the Midlands, LLC
• Carolina Care Center
• Carolina Ear Care
• Carolina Healthcare Consultants, Inc
• Carolina Hormone and Health
• Carolina Pain Specialists LLC
• Carolina Psychiatric Services, Inc
• Carolina Smiles Family Dentistry
• Carolina Speech and Hearing, Inc.
• Carolina Therapy Solutions, LLC

• Neurological Surgery Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Neurological Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.