<unavail> in Columbia, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Columbia, South Carolina. The current practice location for is 2638 Two Notch Rd, Suite 108, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 779-7257. The mailing address for is 2638 Two Notch Rd, Suite 108, Columbia, South Carolina and phone number is (803) 779-7257.

is licensed to practice in South Carolina (license number ). The clinic also participates in the medicare program and its NPI number is 1184829392. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 779-7257.

Contact Information


	2638 Two Notch Rd Suite 108 Columbia SC 29204-1454
	(803) 779-7257
	(803) 779-5285

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2638 Two Notch Rd, Columbia, South Carolina
Authorized Official Name and Position	Carmen Hampton Julious (EXECUTIVE DIRECTOR)
Authorized Official Contact	8037797257
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2638 Two Notch Rd Suite 108 Columbia SC 29204-1454 Ph: (803) 779-7257	2638 Two Notch Rd Suite 108 Columbia SC 29204-1454 Ph: (803) 779-7257

NPI Details:

NPI Number	1184829392
Provider Enumeration Date	06/18/2007
Last Update Date	03/03/2015

Medicare PECOS Information:

Medicare PECOS PAC ID	8527417682
Medicare Enrollment ID	O20231214001248

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184829392	NPI	-	NPPES
EX0210	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Leroy J Huffman
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1881689032 PECOS PAC ID: 0840283644 Enrollment ID: I20051005000912

Provider Name	Towanna Shanett Lance Enoch
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1982709069 PECOS PAC ID: 1254568355 Enrollment ID: I20210526002470

Reviews and Comments

Clinic/Center in Columbia, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Medicare Primary Care in Columbia, SC