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ALBERT HUMPHREY
NPI 1447435003
Internal Medicine in Columbia, SC

Active since January 02, 2008
4100 MAIN ST, SUITE 101, COLUMBIA, SC 29203(803) 754-0006(803) 735-1635 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Albert Humphrey NPPES

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

ALBERT HUMPHREY (NPI 1447435003) is a healthcare organization registered as an internal medicine in Columbia, South Carolina and active in the NPI registry since January 2008. The organization lists Albert Humphrey, Owner, as its authorized official.

NPPES Registry Identity

NPI1447435003
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALBERT HUMPHREY
Location Address4100 MAIN ST, SUITE 101Columbia, SC 29203-5800
Mailing Address4100 Main St, Suite 101Columbia, SC 29203-5800 · (803) 754-0006 · Fax (803) 735-1635
Phone(803) 754-0006
Fax(803) 735-1635
Organization SubpartNo
Authorized OfficialAlbert HumphreyOwner · (803) 754-0006
Enumeration DateJanuary 2, 2008
Last NPPES UpdateDecember 18, 2014
✔ NPI 1447435003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 8045
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.
4100 MAIN ST, Columbia, SC 29203
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN2049SC
Medicare UPIND17578SC
MedicaidGP0304SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Albert Humphrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Albert Humphrey, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Albert Humphrey, MD
Internal Medicine
NPI 1770543621
4100 N. MAIN ST SUITE 203
Columbia, SC 29203
(803) 754-0006
✔ PECOS✔ Accepts MedicareSame address
Roxie Chisholm, FNP-C
Nurse Practitioner
NPI 1932502572
115 BLARNEY DR STE 108
Columbia, SC 29223
(803) 462-9200
✔ PECOS✔ Accepts Medicare6.1 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0249433

Albert Humphrey MD · Columbia, SC
Expired · Sep 14, 2026
CLIA Number42D0249433
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorAlbert Humphrey
Laboratory Phone(803) 754-0006
Laboratory LocationAlbert Humphrey MD4100 N Main St Suite 203, Columbia, SC 29203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Albert Humphrey's NPI number?

The NPI number for Albert Humphrey is 1447435003. It was assigned to this organization in the NPPES registry on January 2, 2008.

Where is Albert Humphrey located?

Albert Humphrey is located at 4100 Main St Suite 101, Columbia, SC 29203. The listed phone number is (803) 754-0006.

What is Albert Humphrey's specialty?

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

Is Albert Humphrey enrolled in Medicare?

Yes. Albert Humphrey is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Albert Humphrey?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Albert Humphrey, in Internal Medicine 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, 1 practice at this address and 2 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 Albert Humphrey was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.