OrganizationActive
Adjutant General of Sc
NPI 1306032214 · Case Management Agency · Eastover, SC
Provider details
- NPI number
- 1306032214
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jackie Fogle, Director(803) 331-6675
- License
- PR38913 (SC)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5471 Leesburg Rd.
Eastover, SC 29044-9184
Phone: (803) 832-4876
Fax: (803) 832-4880
Street-level locationGet directions
Mailing address
1 National Guard Rd
Columbia, SC 29201-4752
Other names (DBA / former)
- Doing business as
- Sc Youth Challenge Academy @ Camp Long
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2010-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.