Organization Active NPI

Sandhills Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
National Provider Identifier
1316533474
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SANDHILLS ENDOSCOPY CENTER
Practice address
2631 Forest Dr
Columbia, SC 29204-2363
Phone
(803) 254-8449
Fax
(803) 254-8984
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Kievers Cunningham, MDNPI 1679524185
Title
Medical Director
Phone
(803) 254-8449

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2631 Forest Dr
Columbia, SC 29204-2363

Mailing address

2631 Forest Dr
Columbia, SC 29204-2363
Phone (803) 254-8449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210305001397 SC Part B Supplier - Ambulatory Surgical Center 4486060092 Practice locations: Columbia, SC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sandhills Endoscopy CenterCCN 42C0001098
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1316533474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042363",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042363",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "KIEVERS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-254-8449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.