Active NPI
Carolina Healthchoice of Orangeburg, LLC
- General Practice Physician
- Orangeburg, SC
National Provider Identifier
1649783374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CAROLINA HEALTHCHOICE OF ORANGEBURG, LLC
- Practice address
- 1737 Village Park Dr
Orangeburg, SC 29118-2475 - Phone
- (803) 939-6142
- Fax
- (803) 937-6837
- NPI assigned
- Nov 16, 2017
- 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
- Amber Compton
- Title
- Practice Manager
- Phone
- (803) 764-0464
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
1737 Village Park Dr
Orangeburg, SC 29118-2475
Mailing address
1494 Lake Murray Blvd
Columbia, SC 29212-8697
Phone (803) 764-0464
National Provider Directory
National Provider DirectoryLocations
1737 Village Park Dr
Orangeburg, SC 29118
Phone (803) 673-4926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510790400000",
"number": "1649783374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 LAKE MURRAY BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128697",
"telephone_number": "803-764-0464",
"fax_number": "803-764-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 VILLAGE PARK DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182475",
"telephone_number": "803-939-6142",
"fax_number": "803-937-6837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HEALTHCHOICE OF ORANGEBURG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A",
"authorized_official_last_name": "COMPTON",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "803-764-0464"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.