OrganizationActive
Cofa, LLC
NPI 1639384761 · Psychiatry Physician · Lake City, SC
Provider details
- NPI number
- 1639384761
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelvin Williams, Executive Director(843) 229-8504
- License
- 55 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
106 E Thomas St
Lake City, SC 29560-2639
Phone: (843) 229-8504
Fax: (843) 374-2632
Street-level locationGet directions
Mailing address
106 East Thomas Street
Lake City, SC 29560
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2008-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.