1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. General Practice
  6. NPI Profile

SOUTH CAROLINA
NPI 1003531567
General Practice in Columbia, SC

Active since October 07, 2022CLIA 42D2261994 · Waiver
1320 MAIN ST STE 300, COLUMBIA, SC 29201(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Carolina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAROLINA (NPI 1003531567) is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Christopher Dennis, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1003531567
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF TENNESSEE PC
Location Address1320 MAIN ST STE 300Columbia, SC 29201-3266
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152
Phone(657) 400-5180
Organization SubpartNo
Authorized OfficialChristopher DennisChief Medical Officer · (657) 237-2450
Enumeration DateOctober 7, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1003531567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1320 MAIN ST STE 300, Columbia, SC 29201
Open in Google Maps ↗

Other Names 1

Other NameSouth Carolina

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2261994

South Carolina Senate · Columbia, SC
Active · expires Jun 7, 2028
CLIA Number42D2261994
Laboratory TypeGovernment Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorMs. Jacqueline A. Molchan
Laboratory Phone(803) 212-6175
Laboratory LocationSouth Carolina Senate1101 Pendleton Street, Columbia, SC 29201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA NANCY MANFREDINI
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (888) 880-9270
ALEXIS LORRAINE SHAKESPAERE
Assistant Behavior Analyst
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (855) 832-6727
JACINTA PARRIS
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (877) 418-2978
LEMONICA LORRAINE MCLEOD
Assistant Behavior Analyst
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (855) 832-6727
THE STEPPING STONES GROUP, LLC
Counselor (Professional)
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (803) 769-8263
MICAIAH JOSEPH OLKOWSKI BCBA
Behavior Analyst
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (877) 418-2978
MACKENZIE A BROCK
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (877) 418-2978
ZYNASIA OREE
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (855) 832-6727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landmark Medical Of Tennessee PC's NPI number?

The NPI number for Landmark Medical Of Tennessee PC is 1003531567. It was assigned to this organization in the NPPES registry on October 7, 2022. The provider is also known as South Carolina.

Where is Landmark Medical Of Tennessee PC located?

Landmark Medical Of Tennessee PC is located at 1320 Main St Ste 300, Columbia, SC 29201. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Tennessee PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Landmark Medical Of Tennessee PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2261994) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Tennessee PC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.