Individual provider Active NPI

Deidre L Toomer-Clowney, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1366530735
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14048 Issued in SC
Practice address
2719 Middleburg Dr
#204
Columbia, SC 29204
Phone
(803) 256-1111
Fax
(803) 256-2111
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14048 SC Primary

Addresses

Primary practice location

2719 Middleburg Dr
#204
Columbia, SC 29204

Mailing address

2719 Middleburg Dr
#204
Columbia, SC 29204
Phone (803) 256-1111

Other identifiers 1

IdentifierTypeStateIssuer
GP3490MedicaidSC

Other names 1

  • Dr. Deidre L Toomer-Clowney Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091204000033 SC Practitioner - Internal Medicine 0143369116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1415 Blanding St
Suite 3
Columbia, SC 29201-2922
Phone (803) 256-1111

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14048SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medicine, Inc CurrentSince Sep 11, 2015 Accepting new patients

Locations

1415 Blanding St
Ste 3
Columbia, SC 29201
Phone (602) 317-6874

2999 Sunset Blvd
Ste 102
West Columbia, SC 29169
Phone (803) 724-3855

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1366530735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "#204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-256-1111",
            "fax_number": "803-256-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "#204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-256-1111",
            "fax_number": "803-256-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOMER-CLOWNEY",
        "first_name": "DEIDRE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "14048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3490",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "TOOMER-CLOWNEY",
            "middle_name": "L",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.