NORTHLAKE FAMILY PRACTICE (NPI# 1336684851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336684851 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE FAMILY PRACTICE |
| Practice Address |
115 Blarney Dr Suite 101 C Columbia SC 29223-6291 |
| Practice Telephone | 8034195131 |
| Mailing Telephone | 8034195131 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | DR. ROBERT RAMOS (PRESIDENT / OWNER) |
| Authorized Official Telephone | 8036223559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 19001 | SC | Managed Care Organizations |
| Street Address |
115 BLARNEY DR SUITE 101 C |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746709 | Reginald L Parker | Emergency Medicine | 115 Blarney Dr, Ste 101, Columbia, SC 29223-6291 | 2006-03-29 |
| 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 |
| 1053486050 | Jca Inc | Clinic/Center | 115 Blarney Dr, Columbia, SC 29223-6251 | 2006-11-22 |
| 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 | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942733910 | Circle of Life Home Health Care | Exclusive Provider Organization | 259 Alelia Ln, Columbia, SC 29229-9577 | 2017-04-06 |
| 1881077865 | Teach 1 Save 1 | Exclusive Provider Organization | 2601 Read St Ste I7, Columbia, SC 29204-7861 | 2015-07-08 |
| 1972859866 | Ta Health Services | Exclusive Provider Organization | 8839 Stonebrook Ln, Columbia, MD 21046-1415 | 2012-07-28 |
| 1689757551 | Careermed Alliance, Inc. | Exclusive Provider Organization | 1713 Taylor St, Suite D, Columbia, SC 29201-3400 | 2006-10-23 |
| 1033532262 | The Braces Place | Exclusive Provider Organization | 921 Longtown Rd, Suite B, Columbia, SC 29229-9498 | 2014-01-23 |
| 1821286345 | Devine Psychiatry LLC | Exclusive Provider Organization | 1333 Taylor St, Suite 4-h, Columbia, SC 29201-2923 | 2007-10-10 |
| 1083831770 | Vi-care Group Inc. | Exclusive Provider Organization | 5115 Forest Dr, Suite B, Columbia, SC 29206-4934 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598119885 | Onsite Health | Exclusive Provider Organization | 1295 Old Spartanburg Hwy, Lyman, SC 29365-1820 | 2016-04-22 |
| 1659770881 | Firstlight Home Care | Exclusive Provider Organization | 2520 S Highway 17, Suite 2, Murrells Inlet, SC 29576-7657 | 2014-08-13 |
| 1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
| 1396166716 | Missy L Campbell | Exclusive Provider Organization | 203 Gibson Woods Trl, Greer, SC 29651-5256 | 2014-01-02 |
| 1649604000 | Jeffrey Walter Herndon | Exclusive Provider Organization | 990 Academy Rd, Walterboro, SC 29488-9266 | 2013-08-21 |
| 1548565971 | Carring Sheppard, LLC | Exclusive Provider Organization | 324 Raes Creek Dr, Greenville, SC 29609-1989 | 2011-01-15 |
| 1639487127 | Above and Beyond Homehealth Agency | Exclusive Provider Organization | 1005 Hare Street, Conway, SC 29526 | 2010-09-17 |
| 1861725251 | Angela Michelle Gaskins | Exclusive Provider Organization | 370 Piney Heights Rd, Warrenville, SC 29851-2707 | 2009-09-16 |
| 1386891463 | Edisto Dental Associates of Sc, LLC | Exclusive Provider Organization | 51 Station Ct Ste C, Edisto Island, SC 29438-3020 | 2008-08-20 |
| 1518979202 | Georgetown County Alcohol & Drug Abuse Commission | Exclusive Provider Organization | 1423 Winyah St, Georgetown, SC 29440-4730 | 2006-08-12 |
| Find all providers with the same taxonomy | ||||
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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.