Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Carolina Orthopaedic and Sports Medicine, PA

Organization Orthopaedic Surgery Physician · NPI 1922055649

Carolina Orthopaedic and Sports Medicine, PA provides Orthopaedic Surgery Physician services in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1818 Henderson St
Columbia, SC 29201-2619 Not confirmed with CMS for 13 years — call before visiting
Phone: (803) 758-2600
Fax: (803) 253-8896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (SC)

Record details

NPI number1922055649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Boucher — President And Coo · (803) 782-4278
NPI enumeratedMay 28, 2006
Last updated in NPPESApril 10, 2013
Mailing addressPo Box 890046, Charlotte, NC 28289-0046

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