OrganizationActive
Northlake Family Practice
NPI 1336684851 · Exclusive Provider Organization · Columbia, SC
Provider details
- NPI number
- 1336684851
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Robert Ramos, President / Owner(803) 622-3559
- License
- 19001 (SC)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
115 Blarney Dr
Suite 101 C
Columbia, SC 29223-6291
Phone: (803) 419-5131
Street-level locationGet directions
Mailing address
115 Blarney Dr
Columbia, SC 29223-6291
Registry dates
- Enumerated
- 2016-12-20
- Last updated
- 2016-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.