Active NPIIndividual provider

Collin Homer-Bouthiette

Internal Medicine, Pulmonary Disease in Columbia, South Carolina

NPI Number1447815303
Practice location
1333 Taylor St Ste 6F, Columbia, SC 29201-2953
Fax
803-296-7061
Last updated
August 6, 2025

Collin Homer-Bouthiette is an Internal Medicine, Pulmonary Disease based in Columbia, SC. Collin Homer-Bouthiette practices in Columbia, SC. The NPI Number for Collin Homer-Bouthiette is 1447815303 and holds a License No. 1015619 (MA). The current practice location address for Collin Homer-Bouthiette is 1333 Taylor St Ste 6F, Columbia, SC 29201-2953 and can be reached out via phone at 803-296-3273 and via fax at 803-296-7061.

Provider Profile Details

NPI Number
1447815303
Provider Name
Collin Homer-Bouthiette
Provider Entity Type
Individual
Gender
Male
Address
1333 Taylor St Ste 6F, Columbia, SC 29201-2953
Phone Number
803-296-3273
Fax Number
803-296-7061
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
May 7, 2019
Last Update Date
August 6, 2025
Certification Date
August 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1333 Taylor St Ste 6F
Columbia, SC 29201-2953
Zip
29201-2953
Phone Number
803-296-3273
Fax Number
803-296-7061
Columbia, SC 29201Get directions →

Provider Business Mailing Address Details

Address
300 E Mcbee Ave Ste 300
Greenville, SC 29601-2899
City
Greenville
State
SC
Zip
29601-2899
Phone Number
864-522-8611

License Information

License Number (1)
1015619
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
94122
License State (2)
SC
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Collin Homer-Bouthiette?

The NPI number of Collin Homer-Bouthiette is 1447815303. It was assigned on May 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Collin Homer-Bouthiette?

Collin Homer-Bouthiette is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in MA under license number 1015619.

Where does Collin Homer-Bouthiette practice?

The practice location is 1333 Taylor St Ste 6F, Columbia, SC 29201-2953. The office can be reached at 803-296-3273 (phone) or 803-296-7061 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447815303 directly on the NPPES registry website.

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