NPIMap

Organization Active NPI

Columbia Gastroenterology Associates PA

  • Gastroenterology Physician
  • Columbia, SC
National Provider Identifier
1922080266
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
COLUMBIA GASTROENTEROLOGY ASSOCIATES PA
Practice address
2739 Laurel St
Suite 1-a
Columbia, SC 29204-2028
Phone
(803) 799-3737
Fax
(803) 256-0395
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Margot Carroll
Title
Admin Coordinator
Phone
(803) 799-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2739 Laurel St
Suite 1-a
Columbia, SC 29204-2028

Mailing address

2739 Laurel St Ste 1a
Columbia, SC 29204-2028
Phone (803) 799-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526001352 SC Part B Supplier - Clinic/Group Practice 9234035759 Receives reassigned benefits from 10 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory
Tax ID family
Parks OBGYN Associates42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4439 State Route 159
Ste 160
Chillicothe, OH 45601
Phone (740) 772-4844

Use Cb8453
Columbus, OH 43260

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1922080266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 LAUREL ST STE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042028",
            "telephone_number": "803-799-4800",
            "fax_number": "803-252-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 LAUREL ST",
            "address_2": "SUITE 1-A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042028",
            "telephone_number": "803-799-3737",
            "fax_number": "803-256-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA GASTROENTEROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MARGOT",
        "authorized_official_title_or_position": "ADMIN COORDINATOR",
        "authorized_official_telephone_number": "803-799-4800"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.