NPIMap

Organization Active NPI

SCB Inc

  • Medical Specialty Clinic/Center
  • Blythewood, SC
National Provider Identifier
1396700183
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
20528 Issued in SC
Legal business name
SCB INC
Practice address
738 University Village Dr
Blythewood, SC 29016-7611
Phone
(803) 754-8432
Fax
(803) 754-8411
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Steven K Barnett, M. D.
Title
President
Phone
(803) 667-1528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 20528 SC Primary

Addresses

Primary practice location

738 University Village Dr
Blythewood, SC 29016-7611

Mailing address

54 W Sugarberry CT
Blythewood, SC 29016-8042
Phone (803) 667-1528

Other identifiers 3

IdentifierTypeStateIssuer
205282MedicaidSC
276711MedicaidSC
GP3859MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1396700183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W SUGARBERRY CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168042",
            "telephone_number": "803-667-1528",
            "fax_number": "803-667-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 UNIVERSITY VILLAGE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167611",
            "telephone_number": "803-754-8432",
            "fax_number": "803-754-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-667-1528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "20528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205282",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276711",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3859",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.