Active NPI
Sandhills Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Columbia, SC
National Provider Identifier
1316533474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kievers Cunningham, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Florence, SC
- NPI 1679524185
-
- Pharmacist
- Camden, SC
- NPI 1730396771
-
- Family Medicine Physician
- Peak, SC
- NPI 1497856371
-
- Internal Medicine Physician
- Camden, SC
- NPI 1871544403
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.