BIG BROTHERS BIG SISTERS OF GR. COLUMBIA (NPI# 1124109699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124109699 |
| Entity Type | Organization |
| Organization Name | BIG BROTHERS BIG SISTERS OF GR. COLUMBIA |
| Practice Address |
4300 North Main Street Suite 200 Columbia SC 29203-5950 |
| Practice Telephone | 8036915700 |
| Practice Fax Number | 8036915701 |
| Mailing Telephone | 8036915700 |
| Mailing Fax Number | 8036915701 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JULIE TOVEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 8036915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC MEDICAID PROVIDER NO. | MC0028 | 01 |
| Street Address |
4300 NORTH MAIN STREET SUITE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-5950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932643871 | Central Missouri Area Agency On Aging | Voluntary or Charitable | 1121 Business Loop 70 E, Flr 2a, Columbia, MO 65201-4600 | 2016-12-12 |
| 1578983516 | Cameron Transport Services | Voluntary or Charitable | 1208 Bush River Rd Apt N7, 1208 Bush River Rd. Unit N-7, Columbia, SC 29210-7568 | 2014-04-17 |
| 1952505703 | Comprehensive Human Services | Voluntary or Charitable | 800 N Providence Rd, Ste. 200, Columbia, MO 65203-4300 | 2007-06-14 |
| 1295942480 | Columbia Oral Health Clinic | Voluntary or Charitable | 3425 Main St, Columbia, SC 29203-6434 | 2007-05-17 |
| 1568503019 | Gayla Denise Bouknight | Voluntary or Charitable | 8213 Spring Flower Rd, Columbia, SC 29223-5640 | 2007-02-09 |
| 1649310301 | Impact Centers, Inc | Voluntary or Charitable | 1209 Tradewinds Dr, Columbia, TN 38401-4607 | 2007-02-08 |
| 1063586519 | Child Abuse & Neglect Emergency Shelter, Inc. | Voluntary or Charitable | 1611 Towne Dr, Columbia, MO 65202-2339 | 2006-11-17 |
| 1285745562 | Parentingpartners | Voluntary or Charitable | 1804 Hampton St, Columbia, SC 29201-3534 | 2006-08-31 |
| 1114031564 | Prisma Health-midlands | Voluntary or Charitable | 1400 Pickens St, Columbia, SC 29201-3465 | 2006-08-19 |
| 1548631674 | Maryland Coalition of Families for Children's Mental Health, Inc. | Voluntary or Charitable | 10632 Little Patuxent Pkwy, Suite 234, Columbia, MD 21044-3273 | 2015-10-15 |
| 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.