Active NPI
Samantha Gretchen Davis
- Home Health Agency
- Columbia, SC
National Provider Identifier
1750118139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IHCP-2255
- Practice address
- 1345 Garner LN Ste a
Columbia, SC 29210-8362 - Phone
- (803) 669-3004
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IHCP-2255 | SC | Primary |
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
1345 Garner LN Ste a
Columbia, SC 29210-8362
Mailing address
1345 Garner LN Ste a
Columbia, SC 29210-8362
Phone (803) 669-3004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1750118139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 GARNER LN STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108362",
"telephone_number": "803-669-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 GARNER LN STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108362",
"telephone_number": "803-669-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SAMANTHA",
"middle_name": "GRETCHEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": "IHCP-2255",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.