| Sandhills Psychiatric Associates, Llc | |
|
125 Alpine Cir Columbia SC 29223-6385 | |
| (803) 779-3548 | |
| Not Available |
| Full Name | Sandhills Psychiatric Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 125 Alpine Cir, Columbia, South Carolina |
| Authorized Official Name and Position | Jason Kearnes (OWNER) |
| Authorized Official Contact | 8037275520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Psychiatric Associates, Llc 125 Alpine Cir Columbia SC 29223-6385 Ph: (803) 779-3548 | Sandhills Psychiatric Associates, Llc 125 Alpine Cir Columbia SC 29223-6385 Ph: (803) 779-3548 |
| NPI Number | 1992472369 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Medicare PECOS PAC ID | 1456741966 |
|---|---|
| Medicare Enrollment ID | O20211123002740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992472369 | NPI | - | NPPES |
| 395735 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jason R Kearnes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164871273 PECOS PAC ID: 0749563625 Enrollment ID: I20211123002819 |
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