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PEDIATRIC SURGERY
NPI 1003844556
Surgery - Pediatric Surgery in Columbia, SC

Active since June 30, 2006CLIA 42D0679959 · Accreditation
9 RICHLAND MEDICAL PARK DR, SUITE 500, COLUMBIA, SC 29203(803) 296-7304(803) 296-7329 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Surgery NPPES

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

PEDIATRIC SURGERY (NPI 1003844556) is a healthcare organization registered as a pediatric surgery in Columbia, South Carolina and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Darrell C Coven, Director Of Business Dev., Finance, as its authorized official.

NPPES Registry Identity

NPI1003844556
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePALMETTO HEALTH
Location Address9 RICHLAND MEDICAL PARK DR, SUITE 500Columbia, SC 29203-6859
Mailing AddressPo Box 402145Atlanta, GA 30384-2145 · (803) 296-7313 · Fax (803) 296-7330
Phone(803) 296-7304
Fax(803) 296-7329
Organization SubpartYesParent: Palmetto Health Alliance
Authorized OfficialDarrell C CovenDirector Of Business Dev., Finance · (803) 296-7301
Enumeration DateJune 30, 2006
Last NPPES UpdateNovember 19, 2008
✔ NPI 1003844556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
9 RICHLAND MEDICAL PARK DR, Columbia, SC 29203
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Other Names 1

Doing Business AsPediatric Surgery

Other Identifiers 2

MedicaidGP2085SC
Medicare PIN5875SC

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 Accreditation 42D0679959

Palmetto Health Richland Resp Therapy · Columbia, SC
Active · expires Jan 2, 2027
CLIA Number42D0679959
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Mark Mayson
Laboratory Phone(803) 765-7201
Laboratory LocationPalmetto Health Richland Resp TherapyFive Richland Medical Park, Columbia, SC 29203
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

MR. WILLIAM H GAW JR. NP
Nurse Practitioner (Pediatrics)
9 RICHLAND MEDICAL PARK DR, SUITE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555
HAYLEY ELIZABETH CRUZ DO
Pediatrics
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-6155
HALA HASAN
Pediatrics
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-7606
DR. MATTHEW M WIENECKE MD
Pediatrics (Pediatric Cardiology)
9 RICHLAND MEDICAL PARK DR, SUITE 200A
COLUMBIA, SC 29203
Richland County (803) 434-7940
DR. AARON N MOORE M.D.
Surgery (Surgical Critical Care)
9 RICHLAND MEDICAL PARK DR, SUITE 450
COLUMBIA, SC 29203
Richland County (803) 434-8800
STEPHANIE LEWIS GIBSON M.D.
Pediatrics
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-6455
SHANNON BUI MD
Pediatrics
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-6155
ANDREW MURRAY
Pediatrics
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-7606

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 Palmetto Health's NPI number?

The NPI number for Palmetto Health is 1003844556. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Pediatric Surgery.

Where is Palmetto Health located?

Palmetto Health is located at 9 Richland Medical Park Dr Suite 500, Columbia, SC 29203. The listed phone number is (803) 296-7304.

What is Palmetto Health's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Does Palmetto Health hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D0679959) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palmetto Health was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.