Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Columbia Skilled Nursing Associates LLC

Organization Internal Medicine Physician · NPI 1366234767

Columbia Skilled Nursing Associates LLC is an Internal Medicine Physician in Columbia, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3535 Berrywood Dr
Columbia, MO 65201-6584
Phone: (573) 819-8205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1366234767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David James — Partner, Owner · (573) 819-8205
NPI enumeratedMay 21, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing addressPo Box 30860, Columbia, MO 65205-3860

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