OrganizationActive
Concierge Medical Group LLC
NPI 1811407521 · Primary Care Clinic/Center · Columbia, SC
Provider details
- NPI number
- 1811407521
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sarah Doctor-Greenwade, Ceo(803) 722-4988
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
110 Wildewood Park Dr Ste a
Columbia, SC 29223-4301
Phone: (803) 722-4988
Fax: (803) 656-8135
Street-level locationGet directions
Mailing address
Po Box 23328
Columbia, SC 29224-3328
Registry dates
- Enumerated
- 2017-10-08
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.