Organization Active NPI

Midlands Medical Wellness Center, LLC

  • Clinic/Center
  • Columbia, SC
National Provider Identifier
1649613621
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
22453 Issued in SC
Legal business name
MIDLANDS MEDICAL WELLNESS CENTER, LLC
Practice address
200 Springtree Dr
Suite 200
Columbia, SC 29223-8614
Phone
(803) 223-9328
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Jandrette Rhoe, MD
Title
Owner
Phone
(803) 223-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 22453 SC Primary

Addresses

Primary practice location

200 Springtree Dr
Suite 200
Columbia, SC 29223-8614

Mailing address

205 Water Hickory Way
Columbia, SC 29229-7550

National Provider Directory

National Provider Directory

Locations

200 Springtree Dr
Ste 200
Columbia, SC 29223
Phone (803) 722-4975

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1649613621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WATER HICKORY WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGTREE DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238614",
            "telephone_number": "803-223-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS MEDICAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "RHOE",
        "authorized_official_first_name": "JANDRETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-223-9328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "22453",
            "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 Apr 9, 2013; 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.