RADDON LLC
NPI 1861972853
Clinic/Center in Columbia, SC

Active since August 18, 2018
114 GATEWAY CORPORATE BLVD STE 220, COLUMBIA, SC 29203(770) 335-9797(803) 849-8247 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raddon Llc NPPES

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

RADDON LLC (NPI 1861972853) is a healthcare organization registered as a clinic/center in Columbia, South Carolina and active in the NPI registry since August 2018. The organization lists Roger N Phillips, Manager, as its authorized official.

NPPES Registry Identity

NPI1861972853
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRADDON LLC
Location Address114 GATEWAY CORPORATE BLVD STE 220Columbia, SC 29203-9785
Mailing Address114 Gateway Corporate Blvd Ste 220Columbia, SC 29203-9785 · (770) 335-9797
Fax(803) 849-8247
Organization SubpartNo
Authorized OfficialRoger N PhillipsManager · (770) 335-9797
Enumeration DateAugust 18, 2018
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1861972853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

114 GATEWAY CORPORATE BLVD STE 220, Columbia, SC 29203

Accepted Insurance

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Epilepsy)
114 GATEWAY CORPORATE BLVD STE 220
COLUMBIA, SC 29203
Nurse Practitioner
114 GATEWAY CORPORATE BLVD STE 220
COLUMBIA, SC 29203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861972853, enumerated as an "organization" on August 18, 2018.

The provider is located at 114 GATEWAY CORPORATE BLVD STE 220 COLUMBIA, SC 29203 and the phone number is (770) 335-9797.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.