Sandhills Psychiatric Associates, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SANDHILLS PSYCHIATRIC ASSOCIATES, LLC

Practice address

125 Alpine Cir
Columbia, SC 29223-6385

Phone

(803) 779-3548

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jason Kearnes, MDNPI 1164871273

Title

Owner

Phone

(803) 727-5520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jason Kearnes, MD Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

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

• Jason Kearnes, M.D.

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1164871273
  Medicare reassignment Authorized official
• Jeffery Hall Brandenburg, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1659345379
  NPD (past)
• Martha C Freibert, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1144295874
  NPD (past)
• Ellie Bryan Mozingo, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1316912066
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1992472369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-779-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-779-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "KEARNES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-727-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395735",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.drchrono.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Alpine Cir",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292236385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jason Kearnes, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandhills Internal Medicine LLC
• Sandhills OBGYN Associates, P.a.
• Sandhills Pediatrics
• Sandhills Pediatrics
• Sandhills Periodontics
• Sandhills Rheumatology, LLC
• Simrata Sandhu, DMD
• Andrea Dawn Sandifer, OTR/L
• Joyce Sandifer, LDO
• Sandlapper Therapy Group LLC

• Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.