Albert Humphrey

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8045 Issued in SC

Legal business name

ALBERT HUMPHREY

Practice address

4100 Main St
Suite 101
Columbia, SC 29203-5800

Phone

(803) 754-0006

Fax

(803) 735-1635

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Albert Humphrey, MDNPI 1770543621

Title

Owner

Phone

(803) 754-0006

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert Humphrey, MD

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1770543621
  Medicare reassignment NPD Authorized official
• Roxie Chisholm, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1932502572
  Medicare reassignment NPD
• Dorwoah Counts, FNP-BC

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1205020237
  NPD
• Rhona Murph Harrell, MD

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1194792184
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1447435003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-754-0006",
            "fax_number": "803-735-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-754-0006",
            "fax_number": "803-735-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT HUMPHREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-754-0006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0304",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owayed Al-Nowaiser, MD
• Alala, LLC
• Carol B Alan, MD
• Imad Alasibi, DDS
• Laura Barnhart Alberg, M.D.
• Ruby M Albert, MD
• Tunia L Albert
• Carleta V Albertie, APRN
• Halley Jay Alberts
• Lisa Albins, PA-C

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.

Verify at the official NPI Registry.