Active NPI
Sandhills Pediatrics
- Pediatrics Physician
- Irmo, SC
National Provider Identifier
1891774287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SANDHILLS PEDIATRICS
- Practice address
- 7941 Broad River Rd
Irmo, SC 29063-2358 - Phone
- (803) 252-1816
- Fax
- (803) 252-9132
- NPI assigned
- Jan 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William G Taylor, MD
- Title
- President
- Phone
- (803) 252-1816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
7941 Broad River Rd
Irmo, SC 29063-2358
Mailing address
1749 Marshall St
Columbia, SC 29203-6952
Phone (803) 252-1816
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0957415 | Sandhills Pediatrics at Dutch Fork | Compliance | Jan 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Sandhills Pediatrics
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Columbia, SC
- NPI 1528047917
-
- Pediatrics Physician
- Lexington, SC
- NPI 1578542601
-
- Pediatrics Physician
- Columbia, SC
- NPI 1730168121
Locations
7941 Broad River Rd
Irmo, SC 29063
Phone (803) 252-1816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267747200000",
"number": "1891774287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 MARSHALL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036952",
"telephone_number": "803-252-1816",
"fax_number": "803-252-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7941 BROAD RIVER RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290632358",
"telephone_number": "803-252-1816",
"fax_number": "803-252-9132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDHILLS PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-13",
"last_updated": "2010-03-05",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-252-1816",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.