Communities in Schools Kershaw County

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMMUNITIES IN SCHOOLS KERSHAW COUNTY

Practice address

905 West Dekalb Street
Suite a & F
Camden, SC 29020-9998

Phone

(803) 432-1109

Fax

(803) 424-0020

NPI assigned

Oct 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Adams

Title

Co-Director

Phone

(803) 432-1109

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659457901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 WEST DEKALB STREET",
            "address_2": "SUITE A & F",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209998",
            "telephone_number": "803-432-1109",
            "fax_number": "803-424-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 WEST DEKALB STREET",
            "address_2": "SUITE A & F",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209998",
            "telephone_number": "803-432-1109",
            "fax_number": "803-424-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITIES IN SCHOOLS KERSHAW COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "803-432-1109",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0052",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2610QF0050X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Cleary, MS, CCC-SLP
• Kimberly Cogdill, FNP
• Jennifer Dawn Colby
• Colonial Family Practice, LLC (Colonial Family Practice Camden Location)
• Elizabeth Moriarty Combs, MA
• Community Medical Clinic of Kershaw County
• Confident Expectations, LLC
• Judiet Cooper, MASTER, MENTAL HEALT
• Donald J Copley, MD
• Christopher C Cornor, CRNA

• Clinic/Center in Camden, SC
• Providers in Camden, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.