Pediatric Associates, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

6804 Issued in SC

Legal business name

PEDIATRIC ASSOCIATES, P.A.

Practice address

14 Richland Medical Park Dr
Ste. 410
Columbia, SC 29203-6877

Phone

(803) 799-9044

Fax

(803) 256-8119

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

James Hammond Jr., M.D.

Title

President

Phone

(803) 799-9044

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Associates, P.a.

  • Preferred Provider Organization
  • Columbia, SC
  • NPI 1447383666
  NPD tax ID

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275638033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR",
            "address_2": "STE. 410",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036877",
            "telephone_number": "803-799-9044",
            "fax_number": "803-256-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR",
            "address_2": "STE. 410",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036877",
            "telephone_number": "803-799-9044",
            "fax_number": "803-256-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-799-9044",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2802",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Pechal, M.D.
• Paula Mae A Pecho
• Jason Russell Peck, MD
• Pediatria Healthcare, LLC (Pediatria HealthCare for Kids)
• Pediatric After Hours Care LLC
• Pediatric Associates, P.a.
• Pediatric Endocrine Specialty
• Pediatric Hair Solutions Corporation
• Pediatric Innovations
• Pediatric Pulmonary Assoc

• Pediatrics Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• 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.