THREE RIVERS MEDICAL ASSOCIATES, PA
NPI 1124901459
Internal Medicine in Columbia, SC
About Three Rivers Medical Associates, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THREE RIVERS MEDICAL ASSOCIATES, PA (NPI 1124901459) is a healthcare organization registered as an internal medicine in Columbia, South Carolina and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists John Gould, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Three Rivers Medical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Three Rivers Medical Associates, PA, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 42D2252669
Three Rivers Medical Associates · Columbia, SCFrequently 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 Three Rivers Medical Associates, PA's NPI number?
The NPI number for Three Rivers Medical Associates, PA is 1124901459. It was assigned to this organization in the NPPES registry on July 25, 2025.
Where is Three Rivers Medical Associates, PA located?
Three Rivers Medical Associates, PA is located at 115 Atrium Way, Columbia, SC 29223. The listed phone number is (839) 200-7800.
What is Three Rivers Medical Associates, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Three Rivers Medical Associates, PA enrolled in Medicare?
Yes. Three Rivers Medical Associates, PA is registered in the Medicare PECOS enrollment system.
When is Three Rivers Medical Associates, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Three Rivers Medical Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Three Rivers Medical Associates, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Internal Medicine (8) and Family Practice (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Three Rivers Medical Associates, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2252669) is associated with this NPI, valid through February 13, 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 Three Rivers Medical Associates, PA was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Three Rivers Medical Associates, Pa · NPI 1124901459
Internal Medicine organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1124901459 (Entity type: Organization)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** John Gould, PRESIDENT
## Practice location
- **Address:** 115 ATRIUM WAY, Columbia, SC 29223-6371
- **Phone:** (839) 200-7800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Internal Medicine (8), Family Practice (3); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124901459) · Data from the CMS NPPES public registry.