Active NPI
Midlands Gastroenterology Associates
- Specialist
- Columbia, SC
National Provider Identifier
1891859757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9924
- Legal business name
- MIDLANDS GASTROENTEROLOGY ASSOCIATES
- Practice address
- 4100 Main St
Suite 201
Columbia, SC 29203-5800 - Phone
- (803) 786-0980
- Fax
- (803) 786-6452
- NPI assigned
- Dec 21, 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
- Burnett Willilam Gallman, M.D.
- Title
- Doctor
- Phone
- (803) 786-0980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9924 | SC | Primary |
Addresses
Primary practice location
4100 Main St
Suite 201
Columbia, SC 29203-5800
Mailing address
4100 Main St
Suite 201
Columbia, SC 29203-5800
Phone (803) 786-0980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3892 | Medicaid | SC |
Other names 1
- MIDLANDS GASTROENTEROLOGY ASSOCIATES
National Provider Directory
National Provider Directory- Tax ID family
- Midlands Gastroenterology Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Columbia, SC
- NPI 1386708535
Locations
4100 N Main St
Ste 201
Columbia, SC 29203
Phone (803) 260-3679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891859757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MAIN ST",
"address_2": "SUITE 201",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035800",
"telephone_number": "803-786-0980",
"fax_number": "803-786-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 MAIN ST",
"address_2": "SUITE 201",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035800",
"telephone_number": "803-786-0980",
"fax_number": "803-786-6452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDLANDS GASTROENTEROLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GALLMAN",
"authorized_official_first_name": "BURNETT",
"authorized_official_middle_name": "WILLILAM",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "803-786-0980",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "9924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3892",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MIDLANDS GASTROENTEROLOGY ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Columbia, SC
- Midlands Dental, PA
- Midlands Eye Associates, LLC
- Midlands Family Chiropractic, LLC
- Midlands Gastroenterology Associates
- Midlands Gastroenterology Associates
- Midlands Health Center
- Midlands Housing Alliance Inc-Transitions
- Midlands Mediation & Associates LLC
- Midlands Medical Group
- Midlands Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.