Active NPI
Partners for Change of the Carolinas
- Multi-Specialty Clinic/Center
- Sumter, SC
National Provider Identifier
1356786750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PARTNERS FOR CHANGE OF THE CAROLINAS
- Practice address
- 110 South Washington Street
Sumter, SC 29150 - Phone
- (803) 360-7896
- Fax
- (803) 888-2648
- NPI assigned
- Apr 30, 2013
- 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
- Valencia Giselle Gray-Williams, PHARMD
- Title
- Director
- Phone
- (803) 360-7896
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 |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
110 South Washington Street
Sumter, SC 29150
Mailing address
110 South Washington Street
Sumter, SC 29150
Phone (803) 360-7896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
337 Manning Ave
Sumter, SC 29150
Phone (803) 968-4123
110 S Washington St
Sumter, SC 29150
Phone (803) 360-7896
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Columbia, SC
- NPI 1841286481
-
- Physical Therapist
- Sumter, SC
- NPI 1780021998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1356786750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SOUTH WASHINGTON STREET",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-360-7896",
"fax_number": "803-888-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SOUTH WASHINGTON STREET",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-360-7896",
"fax_number": "803-888-2648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS FOR CHANGE OF THE CAROLINAS",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-30",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "GRAY-WILLIAMS",
"authorized_official_first_name": "VALENCIA",
"authorized_official_middle_name": "GISELLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-360-7896",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.