Active NPI
Christian Amores Go, MD
- Emergency Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 91884
- Practice address
- 14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896 - Phone
- (803) 434-1663
- Fax
- (803) 434-3894
- NPI assigned
- Mar 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 91884 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-0669
Other practice location 2
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91884 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Emergency Medicine | Current | Accepting new patients |
| Self Medical Group | Emergency Medicine | Current | Accepting new patients |
| McLeod Health Cheraw | Emergency Medicine | Current | Accepting new patients |
| McLeod Health Cheraw | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- cgo583993@direct.ghs.myhfn.org
- cgo542343@selfregional.direct-ci.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Emergency Medicine
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Rural Health Clinic/Center
- Darlington, SC
- NPI 1003410903
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Emergency Medicine Physician
- Greenwood, SC
- NPI 1740788165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1487239125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 350",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036896",
"telephone_number": "803-434-1663",
"fax_number": "803-434-3894"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-0669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1325 Spring St",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296463860",
"country_code": "US",
"telephone_number": "864-725-4111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GO",
"first_name": "CHRISTIAN",
"middle_name": "AMORES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-15",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "91884",
"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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.