DOCTORS CARE SHANDON
NPI 1700373339
Family Medicine in Columbia, SC

NPI Status: Active since April 19, 2018

Contact Information

2601 ROSEWOOD DR
COLUMBIA, SC
ZIP 29205
Phone: (803) 782-4051
Fax: (803) 790-6612

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
CLIA Number: 42D0249617
CLIA Cert. Type: Other - URGENT CARE
CLIA Exp. Date: 05-30-2026

About DOCTORS CARE SHANDON

This page provides the complete NPI Profile along with additional information for Doctors Care Shandon, a primary care provider established in Columbia, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1700373339 assigned on April 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Doctors Care Shandon operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Doctors Care Shandon. The authorized official of this NPI record is Ryan Foster (Cfo)

NPI: 1700373339
Provider Legal Name: DOCTORS CARE, PA
Other Organization Name: DOCTORS CARE SHANDON
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2601 ROSEWOOD DR COLUMBIA, SC 29205
Location Phone: (803) 782-4051
Location Fax: (803) 790-6612
Mailing Address: 1818 HENDERSON ST COLUMBIA, SC 29201
Mailing Phone: (803) 758-2585
Mailing Fax: (803) 790-6612
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-19-2018
Last Update Date: 04-19-2018
Code Navigator

A primary care provider (PCP) like Doctors Care Shandon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207P00000X	Allopathic & Osteopathic Physicians	Emergency Medicine
2	208D00000X	Allopathic & Osteopathic Physicians	General Practice

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: RYAN FOSTER
Authorized Official Title: CFO
Authorized Official Phone: (803) 758-2595

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
GP0079	MEDICAID (05)	SC
5684	OTHER (01)	SC	MEDICARE PIN

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: 42D0249617
Facility Type: Other - URGENT CARE
Certificate Effective Date: May 31, 2024
Certificate Expiration Date: May 30, 2026
Laboratory Director: DR. SHELLEY JANSSEN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Doctors Care Shandon 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	0	0	3	7	3	3	3	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	0	0	6	7	6	3	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 6 + 7 + 6 + 3 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1700373339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.