Carolinas Medical Center
Organization Active NPI Internal Medicine Physician · Columbia, SC
NPI 1780197335 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1780197335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CAROLINAS MEDICAL CENTER
- Practice address
- 11 Gateway Corners Park
Columbia, SC 29203-8902 - Phone
- (704) 355-6569
- NPI assigned
- Nov 6, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS MEDICAL CENTER
Authorized official
- Name
- Scott Rissmiller
- Title
- Enterprise Evp
- Phone
- (704) 355-8675
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 7
Practitioners 1,067
-
Anna Grace Snyder, PA-C
-
Amanda Suzanne Green, FNP
-
Corey Allyson Guess, FNP
-
Sanjeev Gulati, MD
-
Lucy Neal Rashid, NP
-
Kelli Nichole White, FNP
-
Kathryn Ann Barnes, FNP
-
Freeman Brown, FNP-BC
-
David Andrew Cable, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180108002502 | SC | Part B Supplier - Clinic/Group Practice | 4789597477 |
Receives reassigned benefits from 18 practitioners 1 other NPI on this enrollment Practice locations: Greenville, SC |
National Provider Directory
- Part of
- Ctr for Mental Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Gastroenterology Physician |
207RG0100X | |||
| Transplant Hepatology Physician |
207RT0003X |
Addresses
Primary practice location
11 Gateway Corners Park
Columbia, SC 29203-8902
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
126 Milestone Way
Greenville, SC 29615-5065
Phone (864) 675-5882
Other names
- Atrium Health Liver Care & Transplant
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Other providers in Columbia, SC
- Carolina Therapeutic Services, Inc
- Carolina Ultrasound Services LLC
- Carolina Women'S Physical Therapy and Wellness
- India Carolina
- Carolinas Center for Advanced Management of Pain, PA
- Camille Brown Carpenter
- Halie Carpenter
- Allison G Carpio
- Devin Aaron Carr
- Lady M. Carr
All providers in Columbia, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.