Organization Active NPI

Carolina Allergy & Asthma Consultants

  • Allergy & Immunology Physician
  • Columbia, SC
National Provider Identifier
1285723593
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
CAROLINA ALLERGY & ASTHMA CONSULTANTS
Practice address
One Richland Medical Park
Suite 200
Columbia, SC 29203
Phone
(803) 765-9233
Fax
(803) 779-0344
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. David Perrick, MDNPI 1336255280
Title
Partner
Phone
(803) 765-9233

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
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

One Richland Medical Park
Suite 200
Columbia, SC 29203

Mailing address

One Richland Medical Park
Suite 200
Columbia, SC 29203
Phone (803) 765-9233

Other identifiers 1

IdentifierTypeStateIssuer
GP1591MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000493 SC Part B Supplier - Clinic/Group Practice 3173650876 Receives reassigned benefits from 6 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

320 Harbison Blvd
Ste 280
Columbia, SC 29212
Phone (803) 407-0701

100 Palmetto Health Pkwy
Ste 340
Columbia, SC 29212
Phone (803) 704-0701

1 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-1895

1 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 765-9233

100 Parkridge Dr
Ste 340
Columbia, SC 29212

3000 NE Medical Park
Ste 113
Columbia, SC 29223
Phone (803) 788-8603

Practitioners & affiliated clinicians

Practitioners 6

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1285723593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE RICHLAND MEDICAL PARK",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-765-9233",
            "fax_number": "803-779-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE RICHLAND MEDICAL PARK",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-765-9233",
            "fax_number": "803-779-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ALLERGY & ASTHMA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "PERRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-765-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1591",
            "state": "SC"
        }
    ],
    "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 Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.