NPIMap

Individual provider Active NPI

Tad Alan Venn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Columbia, SC
National Provider Identifier
1891810479
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
27863 Issued in SC
Practice address
100 Palmetto Health Pkwy
Suite G-100
Columbia, SC 29212-1753
Phone
(803) 434-4700
Fax
(803) 434-8747
NPI assigned
Mar 20, 2007
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27863 SC
Geriatric Medicine (Family Medicine) Physician 207QG0300X 27863 SC Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 27863 SC

Addresses

Primary practice location

100 Palmetto Health Pkwy
Suite G-100
Columbia, SC 29212-1753

Mailing address

PO Box 402145
Atlanta, GA 30384-2145
Phone (803) 296-7305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000545 SC Practitioner - Family Practice 0244386415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of South Carolina LLCGroup PAC ID 3375959075, 31 clinicians

Practice addresses (Care Compare)

5110 Fairfield Rd
Columbia, SC 29203-4323
Phone (803) 893-7019

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of South Carolina, LLC Family Medicine CurrentSince Nov 2, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients
Network Geriatric Services, PA Geriatric Medicine PastSince Apr 1, 2006 Accepting new patients

Locations

905 State St
Cayce, SC 29033
Phone (803) 832-4383

5110 Fairfield Rd
Columbia, SC 29203
Phone (803) 691-5650

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1891810479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842145",
            "telephone_number": "803-296-7305",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PALMETTO HEALTH PKWY",
            "address_2": "SUITE G-100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121753",
            "telephone_number": "803-434-4700",
            "fax_number": "803-434-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENN",
        "first_name": "TAD",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27863",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "27863",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "27863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.