Active NPI
Annarosan P Joy MD
- Adult Medicine Physician
- Columbia, SC
National Provider Identifier
1508950494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 23437
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234375 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.