JCA INC (NPI# 1053486050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053486050 |
| Entity Type | Organization |
| Organization Name | JCA INC |
| Other Organization Name | NATIONAL MEN'S HEALTH CLINIC |
| Practice Address |
115 Blarney Dr Columbia SC 29223-6251 |
| Practice Telephone | 8037369400 |
| Practice Fax Number | 8037366999 |
| Mailing Telephone | 8037369400 |
| Mailing Fax Number | 8037366999 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRIS G LAUGHTER (ADMINISTRATOR) |
| Authorized Official Telephone | 8037369400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
17898 | SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| National Men's Health Clinic | Doing Business As Name - Organization |
| Street Address |
115 BLARNEY DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746709 | Reginald L Parker | Emergency Medicine | 115 Blarney Dr, Ste 101, Columbia, SC 29223-6291 | 2006-03-29 |
| 1336684851 | Northlake Family Practice | Exclusive Provider Organization | 115 Blarney Dr, Suite 101 C, Columbia, SC 29223-6291 | 2016-12-20 |
| 1043661986 | Laura E Herbert | Nurse Practitioner | 115 Blarney Dr, Suite 108, Columbia, SC 29223-6291 | 2016-06-22 |
| 1912366527 | Heartfelt Hospice Inc. | Hospice Care, Community Based | 115 Blarney Dr, Suite 204, Columbia, SC 29223-6291 | 2016-02-11 |
| 1689000986 | Hospice Advantage, LLC. | Hospice Care, Community Based | 115 Blarney Dr, Suite 202a, Columbia, SC 29223-6291 | 2013-09-18 |
| 1326488248 | Heartstrings Hospice, LLC | Hospice Care, Community Based | 115 Blarney Dr, Suite 109, Columbia, SC 29223-6291 | 2013-06-25 |
| 1245461391 | Palmetto Health | General Practice | 115 Blarney Dr, Suite 205, Columbia, SC 29223-6291 | 2009-08-06 |
| 1649292830 | Fonda Mae Wilkins | Nurse Practitioner | 115 Blarney Dr, Columbia, SC 29223-6291 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417585 | Alexis Jacobs | Clinic/Center | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| 1053875716 | Columbia Health & Wellness Center, LLC | Clinic/Center | 3304 W Broadway Business Park Ct Ste I, Columbia, MO 65203-0109 | 2019-01-28 |
| 1659805927 | Alexandra Johnson | Clinic/Center | 544 Mansfield Ln, Columbia, SC 29203-9098 | 2017-04-13 |
| 1144674532 | Pediatric Hair Solutions Corporation | Clinic/Center | 217 Pickens St, Columbia, SC 29205-2911 | 2016-04-21 |
| 1902164692 | Dr Goodwin & Associates, LLC | Clinic/Center | 9650 Santiago Rd Ste 109, Columbia, MD 21045-3958 | 2012-05-01 |
| 1679731384 | Patrick Tong Md LLC | Clinic/Center | 7120 Minstrel Way Ste 110, Columbia, MD 21045-5274 | 2008-05-29 |
| 1841817426 | Haviland Eye Care Pllc | Clinic/Center | 1301 Trotwood Ave, Columbia, TN 38401-4702 | 2020-06-30 |
| 1548882483 | Two Medicine Clinical Services, LLC | Clinic/Center | 1814 Paris Rd, Columbia, MO 65201-5538 | 2020-05-14 |
| 1417416363 | Integrative Chiropractic & Rehabilitation | Clinic/Center | 7050 Oakland Mills Rd, Columbia, MD 21046-2193 | 2019-03-19 |
| 1588036800 | Devoted Care and Transition Services-hospice, LLC | Clinic/Center | 1107 Belleview St, Columbia, SC 29201-1810 | 2015-10-26 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.