Forest Acres Well Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FOREST ACRES WELL CARE

Practice address

5101 Forest Dr
Columbia, SC 29206-4962

Phone

(803) 318-2811

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Michelle McGill, DC

Title

Manager

Phone

(803) 318-2811

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1821631706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064962",
            "telephone_number": "803-318-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064962",
            "telephone_number": "803-318-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST ACRES WELL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-318-2811",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@forestacreswellcare.com",
            "affiliation": "N",
            "endpointDescription": "server",
            "address_1": "5101 Forest Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292064962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Foreseeable Future
• Forest Acres Community Healthcare, LLC
• Forest Acres Counseling Center LLC
• Forest Acres Dental Care, P.a.
• Forest Acres Dentistry
• Forest Drive Dental Care, P.a.
• Forest Drive Physicians
• Forest Drive Primary Care
• Forest Lake Audiology LLC
• Forever Friends at Home Care

• Multi-Specialty Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.