Organization Active NPI

Forest Drive Physicians

Doing business as Doctors Express Columbia

  • Urgent Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1740590157
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FOREST DRIVE PHYSICIANS
Doing business as
Doctors Express Columbia
Practice address
3304 Forest Dr
Columbia, SC 29204-4024
Phone
(803) 386-6374
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Lori Lord
Title
Lead Physician
Phone
(803) 386-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

3304 Forest Dr
Columbia, SC 29204-4024

Mailing address

PO Box 290192
Columbia, SC 29229-0004

Other identifiers 1

IdentifierTypeStateIssuer
257420MedicaidSC

Other names 1

  • Doctors Express Columbia Doing business as

National Provider Directory

National Provider Directory

Locations

2501 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 932-0120

3304 Forest Dr
Columbia, SC 29204
Phone (803) 551-2572

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1740590157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290192",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044024",
            "telephone_number": "803-386-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST DRIVE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "803-386-6374"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257420",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2010; 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.