Organization Active NPI

Yahweh'S Restorative Primary Healthcare, Inc

  • General Practice Physician
  • Columbia, SC
National Provider Identifier
1700699899
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
YAHWEH'S RESTORATIVE PRIMARY HEALTHCARE, INC
Practice address
5498 Bluff Rd
Columbia, SC 29209
Phone
(803) 587-9095
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Mrs. Gail Dillard-Washington, MD
Title
Provider/Ceo
Phone
(803) 587-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5498 Bluff Rd
Columbia, SC 29209

Mailing address

PO Box 9828
Columbia, SC 29290
Phone (803) 587-9095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1700699899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9828",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29290",
            "telephone_number": "803-587-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5498 BLUFF RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29209",
            "telephone_number": "803-587-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHWEH'S RESTORATIVE PRIMARY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "DILLARD-WASHINGTON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PROVIDER/CEO",
        "authorized_official_telephone_number": "803-587-9095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Jan 31, 2025; 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.