KIM CAROLLO


Address: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006
Phone: 8034343800

KIM CAROLLO (NPI# 1972072114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972072114
Entity Type Individual
Full Name KIM CAROLLO
Practice Address 8 Richland Medical Park Dr Ste 100
Columbia
SC 29203-8006
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8034343800
Practice Fax Number 8037442759
Mailing Telephone 8032967303
Mailing Fax Number 8032967330
Enumeration Date 2018-11-16
Last Update Date 2020-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
5012470 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN282977 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
23520 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 Blythe Blvd, Cmc Annex, 1st Floor, Charlotte, NC 28203 7043550270
1050 Eagles Landing Pkwy, Stockbridge, GA 302819018 4042512850
6507 Professional Pl, Riverdale, GA 302744941 4042512850
8 Richland Medical Park Dr Ste 100, Columbia, SC 292038006 8034343800 8037442759

Office Location

Street Address 8 RICHLAND MEDICAL PARK DR STE 100
City COLUMBIA
State SC
Zip Code 29203-8006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598764276 Barry Jay Feldman Internal Medicine 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2005-07-15
1417560889 Aziz Petiwala Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2020-08-26
1457848749 Palmetto Health - University of South Carolina Medical Group Internal Medicine 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2018-04-23
1871099093 Kathryn Page Rarick Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2018-04-05
1649702267 Karen Dolezal Physician Assistant 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2017-04-02
1457764516 Sarah Slone Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2014-06-06
1881933885 Micheal William Bunger Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2013-02-11
1639418940 Jamez Marisha Fletcher Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2013-02-06
1942588793 Jodi Myers Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2011-07-28
1730317314 Rebecca Suzanne Napier Internal Medicine 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2009-06-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043671134 Abbey Tapler Nurse Practitioner 9 Richland Med Pk Dr Ste 450, Columbia, SC 29203-6859 2016-03-16
1528428448 Mary Frances Snipes Nurse Practitioner 3 Richland Medical Park Dr., Suite 310, Columbia, SC 29203-6862 2016-03-04
1841659216 Lindsey Culbertson Cossio Nurse Practitioner 121park Central Drive, Suite 200, Columbia, SC 29203-6476 2016-02-15
1386987634 Megan L Stanfill Nurse Practitioner 915 S Garden St, Columbia, TN 38401 2013-04-04
1699015347 Farahnaz Nafisy Nurse Practitioner 3010 Farrow Rd Ste 300, Columbia, SC 29203-7606 2013-02-17
1114270030 Rhonda Lamar Gibson Nurse Practitioner 147 Fox Squirrel Cir, Columbia, SC 29209-4478 2012-10-16
1952675043 Charissa Kirkland Lowe Nurse Practitioner 1614 Main Street Suite C, Ltc Health Solutions, Columbia, SC 29201-2818 2012-03-07
1467741108 Ashley L Chapman Nurse Practitioner 121 Park Central Dr Ste 200, Columbia, SC 29203-6476 2011-04-04
1629001508 Carrie A Miller Nurse Practitioner 706 Ames Dr, Columbia, MO 65201-7571 2006-07-07
1275591687 Beckie Merritt Church Nurse Practitioner 8 Medical Park Rd, Suite 300, Columbia, SC 29203-6864 2006-05-03
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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