Active NPI
Randall S Colby, MD
- Pediatrics Physician
- Columbia, SC
National Provider Identifier
1477544112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19446
- Practice address
- 115 Atrium Way
Suite 120
Columbia, SC 29223-6371 - Phone
- (803) 736-6466
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 19446 | SC | |
| Pediatrics Physician | 208000000X | 19446 | SC | Primary |
Addresses
Primary practice location
115 Atrium Way
Suite 120
Columbia, SC 29223-6371
Mailing address
115 Atrium Way
Suite 120
Columbia, SC 29223-6371
Phone (803) 736-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194462 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1477544112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ATRIUM WAY",
"address_2": "SUITE 120",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236371",
"telephone_number": "803-736-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ATRIUM WAY",
"address_2": "SUITE 120",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236371",
"telephone_number": "803-736-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBY",
"first_name": "RANDALL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "SC",
"license": "19446",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "19446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194462",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.