NPIMap

Organization Active NPI

Living Well Centers Primary Care and Behavioral Health

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1427325372
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVING WELL CENTERS PRIMARY CARE AND BEHAVIORAL HEALTH
Practice address
101 Rice Bent Way
Suite 2
Columbia, SC 29229-6849
Phone
(803) 667-9312
Fax
(803) 667-9313
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Dwayne Pope
Title
Ceo
Phone
(843) 812-5988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

101 Rice Bent Way
Suite 2
Columbia, SC 29229-6849

Mailing address

101 Rice Bent Way
Suite 2
Columbia, SC 29229-6849
Phone (803) 667-9312

National Provider Directory

National Provider Directory

Locations

101 Rice Bent Way
Ste 2
Columbia, SC 29229
Phone (803) 667-9312

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1427325372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICE BENT WAY",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296849",
            "telephone_number": "803-667-9312",
            "fax_number": "803-667-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICE BENT WAY",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296849",
            "telephone_number": "803-667-9312",
            "fax_number": "803-667-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CENTERS PRIMARY CARE AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-812-5988"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Nov 21, 2011; 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.