CAROLINA PEDIATRICS & ADOLESCENT CARE, PA
NPI 1306805056
Pediatrics in Columbia, SC

Active since March 21, 2006CLIA 42D0249288 · Waiver
2113 ADAMS GRV, SUITE 101, COLUMBIA, SC 29203(803) 256-0531(803) 765-9052 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 42D0249288
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About CAROLINA PEDIATRICS & ADOLESCENT CARE, PA

This page provides the complete NPI Profile along with additional information for Carolina Pediatrics & Adolescent Care, Pa, a pediatrician established in Columbia, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1306805056 assigned on March 2006. The practitioner's primary taxonomy code is 208000000X with license number 12782 (SC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Philip F. Mubarak M. D. (Physician)

NPI
1306805056 Verify this NPI
Provider Name
CAROLINA PEDIATRICS & ADOLESCENT CARE, PA
Entity Type
Organization
Location Address
2113 ADAMS GRV SUITE 101 COLUMBIA, SC 29203
Location Phone
(803) 256-0531
Location Fax
(803) 765-9052
Mailing Address
2113 ADAMS GRV SUITE 101 COLUMBIA, SC 29203
Mailing Phone
(803) 256-0531
Mailing Fax
(803) 765-9052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2006
Last Update Date
10-13-2017
Code Navigator

A pediatrician like Carolina Pediatrics & Adolescent Care, Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
12782
License State
SC
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PHILIP F. MUBARAK M. D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(803) 256-0531

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I07170MEDICARE UPIN (02)SC 
I15359MEDICARE UPIN (02)SC 
H69100MEDICARE UPIN (02)SC 
F84862MEDICARE UPIN (02)SC 
B91342MEDICARE UPIN (02)SC 
GP0094MEDICAID (05)SC 
A53452MEDICARE UPIN (02)SC 
I15358MEDICARE UPIN (02)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0249288
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
PHILIP MUBARAK MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carolina Pediatrics & Adolescent Care, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CAROLINA PEDIATRICS & ADOLESCENT CARE, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
2113 ADAMS GRV, SUITE 200
COLUMBIA, SC 29203
Pediatrics
2113 ADAMS GRV, SUITE 101
COLUMBIA, SC 29203
Pediatrics
2113 ADAMS GRV, SUITE 101
COLUMBIA, SC 29203
Counselor (Professional)
2113 ADAMS GRV, SUITE 110
COLUMBIA, SC 29203
Counselor (Professional)
2113 ADAMS GRV, SUITE 110
COLUMBIA, SC 29203
Pediatrics (Adolescent Medicine)
2113 ADAMS GRV, SUITE 110
COLUMBIA, SC 29203
Counselor (Professional)
2113 ADAMS GRV
COLUMBIA, SC 29203
Non-Pharmacy Dispensing Site
2113 ADAMS GRV, STE. 103
COLUMBIA, SC 29203
Counselor (Professional)
2113 ADAMS GRV, SUITE 110
COLUMBIA, SC 29203
Speech-Language Pathologist
2113 ADAMS GRV
COLUMBIA, SC 29203
Nurse Practitioner
2113 ADAMS GRV, SUITE 200
COLUMBIA, SC 29203
Physical Therapist
2113 ADAMS GRV
COLUMBIA, SC 29203
Speech-Language Pathologist
2113 ADAMS GRV
COLUMBIA, SC 29203
Pediatrics
2113 ADAMS GRV, SUITE 101
COLUMBIA, SC 29203
Counselor (Professional)
2113 ADAMS GRV
COLUMBIA, SC 29203
Registered Nurse (Gastroenterology)
2113 ADAMS GRV, SUITE 200
COLUMBIA, SC 29203
Registered Nurse (Gastroenterology)
2113 ADAMS GRV, SUITE 200
COLUMBIA, SC 29203
Physical Therapist
2113 ADAMS GRV
COLUMBIA, SC 29203
Occupational Therapist (Pediatrics)
2113 ADAMS GRV
COLUMBIA, SC 29203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306805056, enumerated as an "organization" on March 21, 2006.

The provider is located at 2113 ADAMS GRV SUITE 101 COLUMBIA, SC 29203 and the phone number is (803) 256-0531.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.