NPIMap

Organization Active NPI

Doctors Care, P.a.

Doing business as Doctors Care Parkridge

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1801391735
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORS CARE, P.A.
Doing business as
Doctors Care Parkridge
Practice address
100 Palmetto Health Pkwy Ste 104
Columbia, SC 29212-1754
Phone
(803) 999-1214
Fax
(803) 999-1215
NPI assigned
Mar 23, 2018
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Shelley Janssen, MD
Title
Chief Medical Officer
Phone
(803) 758-4258

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X SC
Family Medicine Physician 207Q00000X SC Primary
General Practice Physician 208D00000X SC

Addresses

Primary practice location

100 Palmetto Health Pkwy Ste 104
Columbia, SC 29212-1754

Mailing address

1818 Henderson St
Columbia, SC 29201-2619
Phone (803) 758-2585

Other identifiers 2

IdentifierTypeStateIssuer
GP0079MedicaidSC
5684OtherSCMEDICARE PIN

Other names 1

  • Doctors Care Parkridge Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2145270Doctors Care Parkridge100 Palmetto Health Parkway, Columbia, SC 29212ComplianceMay 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Doctors Care Columbia East63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1801391735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HENDERSON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012619",
            "telephone_number": "803-758-2585",
            "fax_number": "803-782-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PALMETTO HEALTH PKWY STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121754",
            "telephone_number": "803-999-1214",
            "fax_number": "803-999-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "803-758-4258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0079",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "5684",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Care Parkridge",
            "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 Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.