NPIMap

Organization Active NPI

Sports Plus

  • Durable Medical Equipment & Medical Supplies
  • Irmo, SC
National Provider Identifier
1679705628
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPORTS PLUS
Practice address
800 Columbiana Dr Ste 50
Irmo, SC 29063-7214
Phone
(803) 732-9294
Fax
(803) 732-9295
NPI assigned
Aug 10, 2009
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Jennifer Wilmot
Title
A/R Supervisor
Phone
(864) 482-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

800 Columbiana Dr Ste 50
Irmo, SC 29063-7214

Mailing address

800 Columbiana Dr Ste 50
Irmo, SC 29063-7214
Phone (803) 732-9294

National Provider Directory

National Provider Directory
Tax ID family
Clemson Sports Medicine35 organizations share this tax ID, including this one
Part of
Clemson Sports Medicine

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

800 Columbiana Dr
Ste 50
Irmo, SC 29063
Phone (803) 609-0100

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1679705628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COLUMBIANA DR STE 50",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637214",
            "telephone_number": "803-732-9294",
            "fax_number": "803-732-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLUMBIANA DR STE 50",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637214",
            "telephone_number": "803-732-9294",
            "fax_number": "803-732-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PLUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "A/R SUPERVISOR",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.