Individual provider Active NPI

Leroy J. Huffman, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1881689032
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8730 Issued in SC
Practice address
1301 Taylor St Ste 5K
Columbia, SC 29201-2952
Phone
(839) 200-7805
Fax
(803) 891-7085
NPI assigned
Sep 14, 2005
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8730 SC Primary

Addresses

Primary practice location

1301 Taylor St Ste 5K
Columbia, SC 29201-2952

Mailing address

7430 College St
Irmo, SC 29063-2903
Phone (839) 200-7810

Other identifiers 2

IdentifierTypeStateIssuer
087300MedicaidSC
930073233OtherSCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000912 SC Practitioner - Internal Medicine 0840283644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto AIDS Life Support ServicesGroup PAC ID 8527417682, 2 clinicians

Practice addresses (Care Compare)

1301 Taylor St
Suite 5K
Columbia, SC 29201-2952
Phone (839) 200-7805

2638 Two Notch Rd
Suite 108
Columbia, SC 29204-1454
Phone (803) 779-7257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8730SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Three Rivers Medical Associates, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Internal Medicine CurrentSince Jun 8, 2019 Accepting new patients
Palmetto AIDS Life Support Services CurrentSince Nov 13, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 8, 2019 Accepting new patients
Three Rivers Medical Associates, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Palmetto Pain Management LLC CurrentSince Mar 1, 2023 Accepting new patients
Palmetto Health Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

114 Gateway Corporate Blvd
Ste 300
Columbia, SC 29203
Phone (803) 254-3278

115 Atrium Way
Ste 120
Columbia, SC 29223
Phone (803) 445-2941

1301 Taylor St
Ste 2H
Columbia, SC 29201
Phone (803) 296-3500

1301 Taylor St
Ste 5K
Columbia, SC 29201
Phone (803) 765-2090

1301 Taylor St
Ste 8A
Columbia, SC 29201
Phone (803) 299-1922

2611 Forest Dr
Ste 200
Columbia, SC 29204
Phone (803) 779-3263

2638 Two Notch Rd
Ste 108
Columbia, SC 29204
Phone (803) 779-7257

7430 College St
Irmo, SC 29063
Phone (803) 732-4001

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25140/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leroy.huffman.1@17099.direct.athenahealth.com
  • Direct secure messaging: leroy.huffman.1@25140.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1881689032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632903",
            "telephone_number": "839-200-7810",
            "fax_number": "803-891-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST STE 5K",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012952",
            "telephone_number": "839-200-7805",
            "fax_number": "803-891-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "LEROY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "8730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087300",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930073233",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.