Organization Active NPI

TLM Medical Services, LLC

  • Primary Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1821240300
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22363 Issued in SC
Legal business name
TLM MEDICAL SERVICES, LLC
Practice address
1707 Bernardin Ave
Suite C
Columbia, SC 29204-2004
Phone
(803) 376-8875
Fax
(803) 376-8004
NPI assigned
Oct 16, 2008
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Conigliaro Jones, M.D.NPI 1811967458
Title
Physician/President
Phone
(803) 376-8875

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22363 SC Primary

Addresses

Primary practice location

1707 Bernardin Ave
Suite C
Columbia, SC 29204-2004

Mailing address

PO Box 1317
Columbia, SC 29202-1317
Phone (803) 376-8875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000336 SC Part B Supplier - Clinic/Group Practice 5092870097 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

1707 Bernardin Ave
#C
Columbia, SC 29204
Phone (803) 376-8875

1707 Bernardin Ave
Ste C
Columbia, SC 29204
Phone (803) 376-8875

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1821240300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1317",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292021317",
            "telephone_number": "803-376-8875",
            "fax_number": "803-376-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 BERNARDIN AVE",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042004",
            "telephone_number": "803-376-8875",
            "fax_number": "803-376-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLM MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CONIGLIARO",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "803-376-8875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "22363",
            "primary": true
        }
    ],
    "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 Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.