Organization Active NPI

Annarosan P Joy MD

  • Adult Medicine Physician
  • Columbia, SC
National Provider Identifier
1508950494
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
23437 Issued in SC
Legal business name
ANNAROSAN P JOY MD
Practice address
2701 Middleburg Dr
Columbia, SC 29204-2405
Phone
(803) 254-2786
Fax
(803) 254-9015
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Ms. Fredia M. Tarlton
Title
Office Manager
Phone
(803) 254-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 23437 SC Primary

Addresses

Primary practice location

2701 Middleburg Dr
Columbia, SC 29204-2405

Mailing address

2701 Middleburg Dr
Columbia, SC 29204-2405
Phone (803) 254-2786

Other identifiers 1

IdentifierTypeStateIssuer
234375MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1508950494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042405",
            "telephone_number": "803-254-2786",
            "fax_number": "803-254-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042405",
            "telephone_number": "803-254-2786",
            "fax_number": "803-254-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAROSAN P JOY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "TARLTON",
        "authorized_official_first_name": "FREDIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-254-2786",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "23437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234375",
            "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 Feb 12, 2008; 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.