DR. KIM JAMES MASTERS (NPI# 1902802796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902802796 |
| Entity Type | Individual |
| Full Name | DR. KIM JAMES MASTERS |
| Credential | MD |
| Practice Address |
200 Ermine Rd West Columbia SC 29170-2024 |
| Mailing Address |
Po Box 3328 Tega Cay SC 29708-3328 |
| Practice Telephone | 8037919918 |
| Practice Fax Number | 8039265925 |
| Mailing Telephone | 8033962130 |
| Mailing Fax Number | 8033962130 |
| Enumeration Date | 2005-06-26 |
| Last Update Date | 2008-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
15205 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538291448 | Kim O Masters | Nurse Practitioner | 190 Parkridge Drive, Suite 250, Columbia, SC 29212-1747 | 2007-03-09 |
| Street Address |
200 ERMINE RD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29170-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| 1891129797 | Three Rivers Behavioral Health LLC | Clinic/Center | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2013-08-27 |
| 1164502621 | Deborah Bailey | Social Worker | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2006-10-17 |
| 1144253824 | Three Rivers Residential Treatment Midlands Campus, Inc. | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344993 | Holly Helms | Specialist/Technologist | 519 Dickson Hill Circle, West Columbia, SC 29170 | 2017-09-01 |
| 1336524115 | Mary C Ward | Nurse Practitioner | 3316 Plattsprings Rd, West Columbia, SC 29170 | 2015-07-22 |
| 1215379680 | Ethan Knight | Pharmacist | 244 Stonewood Court, West Columbia, SC 29170 | 2013-07-25 |
| 1376827238 | Myra Jones | Community Health Worker | 1059 Meeting St., West Columbia, SC 29170 | 2011-10-10 |
| 1043425234 | Autumn R Zamudio | Nurse's Aide | 1118 W. Fairfiled Dr., W. Columbia, SC 29170 | 2007-05-11 |
| 1477623791 | Deno Stavros Chrysostom | Dentist | 3308 Platt Springs Rd, West Columbia, SC 29170 | 2006-11-08 |
| 1760578280 | James Horace Phillips Jr. | Pharmacist | 3901 Edmund Rd, Suite D, West Columbia, SC 29170 | 2006-10-04 |
| 1457379901 | Lexington County Health Services District, Inc. | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2006-07-17 |
| 1699155119 | Michael Stewart Comer | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2015-06-01 |
| 1346628286 | Katelin F Gardner, Dc | Chiropractor | 2230 Airport Blvd, Chiropractic Lifestyles, West Columbia, SC 29170 | 2015-05-12 |
| Find all providers in zip 29170 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013178334 | Tiona Guess Praylow | Psychiatry & Neurology | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2008-06-19 |
| 1013033273 | Melanie Anne Lobel | Psychiatry & Neurology | 110 E Medical Ln, Suite 140, West Columbia, SC 29169-4817 | 2007-03-21 |
| 1386796795 | Jan Presberg | Psychiatry & Neurology | 3227 Sunset Blvd Ste D103, West Columbia, SC 29169-3201 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
| 1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
| 1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
| 1881803641 | Ajay Sood | Psychiatry & Neurology | 255 King St, Charleston, SC 29401-1435 | 2007-05-21 |
| 1619023876 | Marietta M. Chua | Psychiatry & Neurology | 4 Sweet Gum Ln, Hilton Head Island, SC 29928-4207 | 2007-01-28 |
| 1083704837 | Kimberly Monique Bush | Psychiatry & Neurology | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2006-10-13 |
| 1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
| 1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
| 1053359851 | Ayanna Swinton Jamison | Psychiatry & Neurology | 2601 Read St Ste I-10, Columbia, SC 29204-7861 | 2006-06-03 |
| 1144271867 | Laureen Judy Noll | Psychiatry & Neurology | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29170 |
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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.