MRS. REGINA SULLIVAN DAVIS (NPI# 1801451281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801451281 |
| Entity Type | Individual |
| Full Name | MRS. REGINA SULLIVAN DAVIS |
| Credential | AA, CPSS, CPRC |
| Practice Address |
3937 Sunset Blvd Suite E Columbia SC 29169-4302 |
| Practice Telephone | 8035673059 |
| Practice Fax Number | 8002908136 |
| Mailing Telephone | 8035673059 |
| Mailing Fax Number | 8002908136 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 2736403 | SC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114588845 | Regina Dwn Davis | Nurse Practitioner | 72 Blackberry Ln, Winfield, WV 25213-9364 | 2019-06-24 |
| 1629538277 | Regina Yvette Davis | Counselor | 228 Daisy Cir, Mcdonough, GA 30252-1040 | 2019-03-20 |
| 1952753717 | Regina Marie Davis | Nurse Practitioner | 23403 E Mission Ave Ste 200i, Liberty Lake, WA 99019-7575 | 2016-07-05 |
| 1568687671 | Regina Erwin Davis | Licensed Practical Nurse | 5224 N Afton Pkwy, Baton Rouge, LA 70806-3530 | 2007-04-16 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| 1619966389 | Regina Marie Davis | Genetic Counselor, MS | 533 Parnassus Ave, Box 0720, San Francisco, CA 94143-2208 | 2005-10-17 |
| 1588265805 | Regina Dale Davis | Pharmacist | 4019 Central Ave, Hot Springs, AR 71913 | 2020-11-03 |
| 1659984995 | Regina Lynn Davis | Counselor | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2020-08-26 |
| 1124665773 | Regina Sherille Davis | Licensed Practical Nurse | 1408 E Franklin St, Monroe, NC 28112-5160 | 2019-12-03 |
| 1518436765 | Regina Davis | Speech-Language Pathologist | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2018-11-16 |
| Street Address |
3937 SUNSET BLVD SUITE E |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29169-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204400 | Chfs Management Services Corporation | Peer Specialist | 3937 Sunset Blvd, Suite E, Columbia, SC 29169-4302 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330985 | Jeremy K Burton | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2020-09-09 |
| 1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
| 1932745601 | Dakota Stotts | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2019-11-18 |
| 1396204400 | Chfs Management Services Corporation | Peer Specialist | 3937 Sunset Blvd, Suite E, Columbia, SC 29169-4302 | 2019-03-18 |
| 1720571300 | Jason Durbin | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2018-06-08 |
| 1164928644 | Misty H May | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2018-04-03 |
| 1952781049 | Barbara Bryant | Peer Specialist | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
| 1801426457 | Victor Dean Colvard | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-01-23 |
| 1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
| 1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
| 1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
| 1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
| 1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
| 1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
| 1770121394 | Michael Wade Crouch | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-13 |
| 1073159604 | Rhonda Sanford | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-11-19 |
| 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.