Active NPI
South Carolina Internal Medicine Associates and Rehabilitation,L.L.C.
- Internal Medicine Physician
- Irmo, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11901
- Legal business name
- SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C.
- Practice address
- 7182 Woodrow St Ste 200
Irmo, SC 29063-2958 - Phone
- (803) 749-1111
- Fax
- (803) 749-0050
- NPI assigned
- Aug 4, 2005
- Last updated
- May 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin J Levinson, MD
- Title
- Manageing Partner
- Phone
- (803) 749-1111
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MPA 1942 TL | SC | |
| Adult Medicine Physician | 207QA0505X | 11481 | SC | |
| Internal Medicine Physician | 207R00000X | 11931 | SC | |
| Internal Medicine Physician | 207R00000X | 21980 | SC | |
| Internal Medicine Physician | 207R00000X | 11901 | SC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 11871 | SC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 17388 | SC | |
| Surgery Physician | 208600000X | 10531 | SC |
Addresses
Primary practice location
7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Mailing address
7182 Woodrow St Ste 200
Irmo, SC 29063-2832
Phone (803) 749-1111
Other practice location 1
7021 Saint Andrews Rd # 2
Columbia, SC 29212-1177
Phone (803) 749-1111
Other practice location 2
1 Wellness Blvd Ste 109
Irmo, SC 29063-2872
Phone (803) 749-1111
Other practice location 3
1 Wellness Blvd Ste 202
Irmo, SC 29063-2873
Phone (803) 749-1111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110188005 | Other | SC | RAILROAD MEDICARE |
| GP2478 | Medicaid | SC | |
| 1760483382 | Other | SC | RAILROAD MEDICARE |
| CI9660 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2303530 | South Carolina Internal Medicine Associates | Certificate of waiver | Apr 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
1901 Main St
#1105
Columbia, SC 29201
2611 Forest Dr
Ste 230
Columbia, SC 29204
Phone (803) 252-6644
7021 Saint Andrews Rd
#2
Columbia, SC 29212
Phone (803) 749-1111
Practitioners & affiliated clinicians
Practitioners 40
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.
-
- Internal Medicine Physician
- Irmo, SC
- NPI 1346208865
-
- Family Nurse Practitioner
- Irmo, SC
- NPI 1023852159
-
- Adult Health Nurse Practitioner
- Irmo, SC
- NPI 1568404648
-
- Cardiovascular Disease Physician
- Irmo, SC
- NPI 1871542779
-
- Family Medicine Physician
- Irmo, SC
- NPI 1063488054
-
- Internal Medicine Physician
- Irmo, SC
- NPI 1093773590
-
- Family Nurse Practitioner
- Irmo, SC
- NPI 1114166501
-
- Internal Medicine Physician
- Irmo, SC
- NPI 1922489285
-
- Internal Medicine Physician
- Irmo, SC
- NPI 1346208568
-
- Family Nurse Practitioner
- Irmo, SC
- NPI 1760230957
-
- Family Nurse Practitioner
- Irmo, SC
- NPI 1649914151
-
- Family Medicine Physician
- Peak, SC
- NPI 1497856371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714867200000",
"number": "1760483382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7182 WOODROW ST STE 200",
"city": "IRMO",
"state": "SC",
"postal_code": "290632832",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7182 WOODROW ST STE 200",
"city": "IRMO",
"state": "SC",
"postal_code": "290632958",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050"
}
],
"practiceLocations": [
{
"address_1": "7021 Saint Andrews Rd # 2",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121177",
"country_code": "US",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wellness Blvd Ste 109",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290632872",
"country_code": "US",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wellness Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290632873",
"country_code": "US",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-04",
"last_updated": "2024-05-05",
"certification_date": "2024-05-05",
"status": "A",
"authorized_official_last_name": "LEVINSON",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGEING PARTNER",
"authorized_official_telephone_number": "803-749-1111",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "MPA 1942 TL",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "SC",
"license": "11481",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "11931",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "21980",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "11901",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "11871",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "17388",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "10531",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110188005",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2478",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1760483382",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI9660",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
- Elizabeth Sopkovich
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #07012)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #05549)
- South Carolina Heart Center P a
- South Carolina Internal Medicine
- South North Medical Center LLC
- Southeastern Anesthesia Associates, LLC
- Speak-It Into Existence Counseling, Consulting & Coaching, LLC
- Georgia D Spears Moorer, RD, LD
- Speech Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.