Individual provider Active NPI

Cody Becksvoort, D.O

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1831572619
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0077990 Issued in CO
Practice address
6650 Rivers Ave Ste 105
North Charleston, SC 29406-4829
Phone
(803) 305-3974
Fax
(800) 715-1563
NPI assigned
Jun 30, 2015
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0077990 CO Primary
Family Medicine Physician 207Q00000X 83783 SC

Addresses

Primary practice location

6650 Rivers Ave Ste 105
North Charleston, SC 29406-4829

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-5294

Other practice location 1

15854 Jackson Creek Pkwy Unit 120
Monument, CO 80132-8663
Phone (719) 364-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181005001338 IL Practitioner - Family Practice 1658685342
I20211119001599 SC Practitioner - Family Practice 1658685342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

674 W Liberty St
Sumter, SC 29150-4882
Phone (803) 773-5227

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
83783SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Crawford Hospital District CurrentSince Dec 15, 2018 Accepting new patients
Crawford Hospital District CurrentSince Dec 15, 2018 Accepting new patients
Colonial Family Practice, LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Crawford Hospital District Family Medicine Current Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice - Manning Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients

Locations

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1124 Little St
Camden, SC 29020
Phone (803) 432-9899

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

1013 Professional Ct
Ste C
Manning, SC 29102
Phone (803) 433-7425

1036 Professional Ct
Manning, SC 29102
Phone (803) 433-5220

308 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-1200

325 Broad St
Sumter, SC 29150

325 Broad St
Ste 100
Sumter, SC 29150

325 Broad St
Ste 200
Sumter, SC 29150
Phone (803) 775-4469

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

742 W Liberty St
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1831572619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-5294",
            "fax_number": "970-267-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 105",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064829",
            "telephone_number": "803-305-3974",
            "fax_number": "800-715-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15854 Jackson Creek Pkwy Unit 120",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801328663",
            "country_code": "US",
            "telephone_number": "719-364-9930",
            "fax_number": "719-364-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKSVOORT",
        "first_name": "CODY",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0077990",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.