COLUMBIA SKILLED NURSING ASSOCIATES LLC
NPI 1366234767
Internal Medicine in Columbia, MO

Active since May 21, 2025
3535 BERRYWOOD DR, COLUMBIA, MO 65201(573) 819-8205 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2025, May 22, 2025 (2 updates tracked since 2025).

About Columbia Skilled Nursing Associates Llc NPPES

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

COLUMBIA SKILLED NURSING ASSOCIATES LLC (NPI 1366234767) is a healthcare organization registered as an internal medicine in Columbia, Missouri and active in the NPI registry since May 2025. The organization lists David T James, Partner, Owner, as its authorized official.

NPPES Registry Identity

NPI1366234767
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLUMBIA SKILLED NURSING ASSOCIATES LLC
Location Address3535 BERRYWOOD DRColumbia, MO 65201-6584
Mailing AddressPo Box 30860Columbia, MO 65205-3860 · (573) 819-8205 · Fax (636) 333-4510
Organization SubpartNo
Authorized OfficialDavid T JamesPartner, Owner · (573) 819-8205
Enumeration DateMay 21, 2025
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1366234767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
3535 BERRYWOOD DR, Columbia, MO 65201

Other Identifiers 1

Medicaid500159752MO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbia Skilled Nursing Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Columbia Skilled Nursing Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Hospitalist
NPI 1245728492
3535 BERRYWOOD DR
Columbia, MO 65201
(949) 322-5059
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1033398771
3535 BERRYWOOD DR
Columbia, MO 65201
(573) 819-8205
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861095580
1600 E BROADWAY
Columbia, MO 65201
(573) 815-8000
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Columbia Skilled Nursing Associates LLC's NPI number?

The NPI number for Columbia Skilled Nursing Associates LLC is 1366234767. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Columbia Skilled Nursing Associates LLC located?

Columbia Skilled Nursing Associates LLC is located at 3535 Berrywood Dr, Columbia, MO 65201. The listed phone number is (573) 819-8205.

What is Columbia Skilled Nursing Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Columbia Skilled Nursing Associates LLC enrolled in Medicare?

Yes. Columbia Skilled Nursing Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbia Skilled Nursing Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Columbia Skilled Nursing Associates LLC, in Hospitalist and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Columbia Skilled Nursing Associates LLC was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.