Organization Active NPI

Golden Glow Skin and Body

  • Dermatology Physician
  • Columbia, SC
National Provider Identifier
1740055698
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GOLDEN GLOW SKIN AND BODY
Practice address
5808 Shakespeare Rd Ste D
Columbia, SC 29223-7200
Phone
(803) 753-8792
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Felicia KeelsNPI 1639959893
Title
Owner
Phone
(843) 230-6261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5808 Shakespeare Rd Ste D
Columbia, SC 29223-7200

Mailing address

5808 Shakespeare Rd Ste D
Columbia, SC 29223-7200

National Provider Directory

National Provider Directory

Locations

5808 Shakespeare Rd
Ste D
Columbia, SC 29223
Phone (803) 753-8792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1740055698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 SHAKESPEARE RD STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 SHAKESPEARE RD STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237200",
            "telephone_number": "803-753-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GLOW SKIN AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "KEELS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-230-6261"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "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 Nov 21, 2023; 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.