NPIMap

Organization Active NPI

Medical University Hospital Authority

Doing business as MUSC Health Columbia Medical Center Northeast

  • General Acute Care Hospital
  • Columbia, SC
National Provider Identifier
1285200105
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
MUSC Health Columbia Medical Center Northeast
Practice address
120 Gateway Corporate Blvd
Columbia, SC 29203-9611
Phone
(803) 865-4500
NPI assigned
Jun 1, 2021
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Karyn Rae
Title
Chief
Phone
(843) 876-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

120 Gateway Corporate Blvd
Columbia, SC 29203-9611

Mailing address

PO Box 23469
New York, NY 10087-3469
Phone (843) 792-1414

Other names 1

  • MUSC Health Columbia Medical Center Northeast Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210830003580 SC Part A Provider - Hospital 1557268950 3 other NPIs on this enrollment
Practice locations: Winnsboro, SC; Columbia, SC
O20231024003950 SC Part B Supplier - Intensive Cardiac Rehabilitation 1557268950 Practice locations: Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285200105. Details of each certification follow.

Hospital certification: CCN 420026

Legal name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
COLUMBIA MEDICAL CENTER DOWNTOWN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 4, 2024
Beds
258
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2016 (2 total)
Organization structure
OtherNon-profit
Enrollment address
2435 Forest Dr
Columbia, SC 29204-2026
Main/Primary Hospital Location
Hospital subgroups
Acute care, Other

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Musc Health Columbia Medical Center DowntownCCN 420026 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0955961Musc Health Columbia Medical Center Northeast120 Gateway Corporate Boulevard, Columbia, SC 29203AccreditationJan 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Johnson Williams Individual Corporate Director Jan 1, 2026
William M Brown Individual Corporate Director Jan 1, 2026
Michael Stavrinakis Individual Corporate Director Jan 1, 2026
Douglas E Lischke Individual W-2 Managing EmployeeCfo Dec 1, 2023
Terri Barnes Individual Corporate Director Jan 1, 2026
Bartlett J Witherspoon Individual Corporate Director Jan 1, 2026
James Lemon Individual Corporate Director Jan 1, 2026
Medical University of South Carolina Organization, Charleston, SC Non-profit Operational/Managerial Control Mar 1, 2019
Sonya Floyd Individual W-2 Managing EmployeeManager Provider Enrollment and Aug 1, 2021
Henry Frederick Butehorn Individual Corporate Director Jan 1, 2026
Karyn Rae Individual Corporate Director Aug 1, 2021
Paul Davis Individual Corporate Director Jan 1, 2026
Patrick J Cawley Individual Corporate OfficerCeo Aug 1, 2021
Charles Castles Individual Corporate Director Jan 1, 2026
Thomas Stephenson Individual Corporate Director Jan 1, 2026
George M Smith Individual Corporate Director Jan 1, 2026
James Battle Individual Corporate Director Jan 1, 2026
Donald Roger Johnson Individual Corporate Director Jan 1, 2026
Charles Schulze Individual Corporate Director Jan 1, 2026
Richard M Christian Individual Corporate Director Jan 1, 2026

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tidelands Waccamaw Community HospitalMurrells Inlet, SC, CCN 420098 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 420020 Hospital Operational/Managerial Control Oct 1, 2025
Musc Health Lancaster Medical CenterLancaster, SC, CCN 429803 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Musc Health Lancaster Rehabilitation CenterLancaster, SC, CCN 42T036 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 42U020 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at GeorgetownGeorgetown, SC, CCN 428958 Rural health clinic Operational/Managerial Control Oct 1, 2020
Tidelands Health Family Medicine at HemingwayHemingway, SC, CCN 423859 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family MedicineAndrews, SC, CCN 423970 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at Pawleys IslandPawleys Island, SC, CCN 423870 Rural health clinic Operational/Managerial Control Oct 1, 2025
Musc Health Primary Care - Thurgood Marshall BlvdKingstree, SC, CCN 423448 Rural health clinic Operational/Managerial Control (100%) Dec 1, 2022
Musc Community PhysiciansBranchville, SC, CCN 423856 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2021

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 759

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 759

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1285200105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23469",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873469",
            "telephone_number": "843-792-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GATEWAY CORPORATE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039611",
            "telephone_number": "803-865-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MUSC Health Columbia Medical Center Northeast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC Health Columbia Medical Center Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.