Healthcare Provider Details

I. General information

NPI: 1356283659
Provider Name (Legal Business Name): KARILYN KELLY SIMS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MEDICAL PARK DRIVE
COLUMBIA SC
29203
US

IV. Provider business mailing address

14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA SC
29203-6896
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-3790
  • Fax:
Mailing address:
  • Phone: 803-434-3790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberLL96786
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: