OrganizationActive
Palmetto Health
NPI 1104188606 · Geriatric Medicine (Family Medicine) Physician · Columbia, SC
Provider details
- NPI number
- 1104188606
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Palmetto Health
- Organization subpart
- Yes
- Authorized official
- Darrell Coven, Director, Ambulatory Services-Finan(803) 296-7301
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3010 Farrow Rd
Carolina Medical Plaza Suite 200
Columbia, SC 29203-7607
Phone: (803) 434-2741
Fax: (803) 434-3175
Street-level locationGet directions
Mailing address
Po Box 402145
Atlanta, GA 30384-2145
Other names (DBA / former)
- Doing business as
- Ambulatory Care Center for Evaluation and Stabilization
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2012-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.