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BLACK PETERSON CNIM
NPI 1447833173
Psychiatry & Neurology - Clinical Neurophysiology in West Columbia, SC

Active since April 30, 2021
1304 SUNSET BLVD # 203, WEST COLUMBIA, SC 29169(888) 851-3677 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Peterson Cnim NPPES

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

BLACK PETERSON CNIM (NPI 1447833173) is an individual clinical neurophysiology provider in West Columbia, South Carolina, licensed in South Carolina (4700) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1447833173
Entity TypeIndividualMale
Primary Taxonomy2084N0600X
Provider Legal NameBLACK PETERSONCredential: CNIM
Location Address1304 SUNSET BLVD # 203West Columbia, SC 29169-5914
Mailing Address1304 Sunset Blvd # 203West Columbia, SC 29169-5914 · (888) 851-3677
Phone(888) 851-3677
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1447833173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License✔ Licensed in SC · 4700
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
1304 SUNSET BLVD # 203, West Columbia, SC 29169
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDENROD LOGISTICS MONITORING LLC
Psychiatry & Neurology (Neurology)
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169
Lexington County (866) 374-6628
APRIL DRIGGERS CNIM
Psychiatry & Neurology (Clinical Neurophysiology)
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169
Lexington County (888) 851-3677
MANZOOR ALI SHAH
Psychiatry & Neurology (Clinical Neurophysiology)
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169
Lexington County (888) 851-3677
CASEY MCCALL
Psychiatry & Neurology (Clinical Neurophysiology)
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169
Lexington County (888) 851-3671
AYLA VANSICKLE CNIM
Psychiatry & Neurology (Clinical Neurophysiology)
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169
Lexington County (888) 851-3677

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 Black Peterson's NPI number?

The NPI number for Black Peterson is 1447833173. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Black Peterson located?

Black Peterson practices at 1304 Sunset Blvd # 203, West Columbia, SC 29169. The listed phone number is (888) 851-3677.

What is Black Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Black Peterson was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.