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

Concierge Medical Group LLC

Organization Internal Medicine Physician · NPI 1811407521

Concierge Medical Group LLC is an Internal Medicine Physician in Columbia, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
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

110 Wildewood Park Dr Ste A
Columbia, SC 29223-4301
Phone: (803) 722-4988
Fax: (803) 656-8135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1811407521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Doctor-Greenwade — Ceo · (803) 722-4988
NPI enumeratedOctober 8, 2017
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressPo Box 23328, Columbia, SC 29224-3328

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