Active NPI
Pitts Professional Services, LLC
- Diagnostic Radiology Physician
- Columbia, SC
National Provider Identifier
1477504652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PITTS PROFESSIONAL SERVICES, LLC
- Practice address
- 1519 Marion Street
Columbia, SC 29220-0001 - Phone
- (803) 296-5954
- Fax
- (803) 296-3076
- NPI assigned
- May 13, 2006
- Organization subpart
- Yes
- Parent organization
- PITTS RADIOLOGICAL ASSOCIATES, P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles R. Hubbard Jr., M.D.
- Title
- President
- Phone
- (803) 296-5954
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1519 Marion Street
Columbia, SC 29220-0001
Mailing address
1519 Marion Street
Columbia, SC 29220-0001
Phone (803) 296-5954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4473 | Medicaid | SC |
National Provider Directory
National Provider Directory- Part of
- Pitts Radiological Asss
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1629029863
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1417905654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1477504652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 MARION STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292200001",
"telephone_number": "803-296-5954",
"fax_number": "803-296-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 MARION STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292200001",
"telephone_number": "803-296-5954",
"fax_number": "803-296-3076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTS PROFESSIONAL SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PITTS RADIOLOGICAL ASSOCIATES, P.A.",
"enumeration_date": "2006-05-13",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "HUBBARD",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-296-5954",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4473",
"state": "SC"
}
],
"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 Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.