SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE
NPI 1669981429
Family Medicine in Columbia, SC

Active since September 25, 2017CLIA 42D2158713 · Waiver
612 ST ANDREWS RD., STE 2, COLUMBIA, SC 29210(803) 386-8684(803) 386-8684 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About South Carolina Center For Intergrative Medicine NPPES

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

SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE (NPI 1669981429) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Kimberly Shirk, Physcian Assistant, as its authorized official.

NPPES Registry Identity

NPI1669981429
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE
Location Address612 ST ANDREWS RD., STE 2Columbia, SC 29210-2921
Mailing Address612 Saint Andrews Rd Ste 2Columbia, SC 29210-5120 · (803) 386-8684
Fax(803) 386-8684
Organization SubpartNo
Authorized OfficialKimberly ShirkPhyscian Assistant · (803) 386-8684
Enumeration DateSeptember 25, 2017
Last NPPES UpdateJune 16, 2018
NPI 1669981429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 2504
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
612 ST ANDREWS RD., Columbia, SC 29210

Other Names 1

Former Legal Business NameSouth Carolina Center For Intergrative Medicine

Other Identifiers 1

Other1164683926SC · Commercial

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

Accepted Insurance

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 42D2158713

South Carolina Center For Integrative Medicine · Columbia, SC
Active · expires Dec 4, 2026
CLIA Number42D2158713
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorKimberly Shirk
Laboratory Phone(803) 386-8684
Laboratory LocationSouth Carolina Center For Integrative Medicine612 St Andrews Road Suite 2, Columbia, SC 29210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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 South Carolina Center For Intergrative Medicine's NPI number?

The NPI number for South Carolina Center For Intergrative Medicine is 1669981429. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is South Carolina Center For Intergrative Medicine located?

South Carolina Center For Intergrative Medicine is located at 612 St Andrews Rd. Ste 2, Columbia, SC 29210. The listed phone number is (803) 386-8684.

What is South Carolina Center For Intergrative Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does South Carolina Center For Intergrative Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2158713) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Carolina Center For Intergrative Medicine accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list South Carolina Center For Intergrative Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Carolina Center For Intergrative Medicine was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.