Mary Miller McClellan

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

4214 Hard Scrabble Rd
Columbia, SC 29223-8560

Phone

(803) 546-9942

NPI assigned

Jul 26, 2019

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3 Generations Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Columbia, SC
  • NPI 1629807003
  NPD Authorized official
• 3 Generations Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Columbia, SC
  • NPI 1891506762
  NPD Authorized official

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1508410614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BURGEE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297342",
            "telephone_number": "803-546-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238560",
            "telephone_number": "803-546-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "MARY",
        "middle_name": "MILLER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Nicole McClain
• Ruth Rowe McClary
• Tameka McClary
• Vernet McClary
• Michael C McClay, O.D.
• Bruce Andrew McClenaghan, PT
• Laura Elizabeth Thomas McClendon, DPT
• Gaye McClenny Betcher, MSN, ANP
• Alaina McClerklin, FNP-C
• Beverly McClerklin

• Adult Day Care Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.