Individual provider Active NPI

Ashley Nix, FNP

  • Family Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1003298274
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20563 Issued in SC
Practice address
1612 Airport Blvd
West Columbia, SC 29169-5016
Phone
(803) 380-6399
Fax
(877) 484-7187
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20563 SC Primary
Family Nurse Practitioner 363LF0000X 236796 GA

Addresses

Primary practice location

1612 Airport Blvd
West Columbia, SC 29169-5016

Mailing address

4700 Millenia Blvd
Orlando, FL 32839-6013
Phone (803) 380-6399

Other identifiers 2

IdentifierTypeStateIssuer
236796OtherGAGEORGIA APRN
20563OtherSCAPRN SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170606002425 SC Practitioner - Nurse Practitioner 3476859232 Reassigns benefits to 3 organizations
I20200403002694 GA Practitioner - Nurse Practitioner 3476859232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

305 W Robinson Ave
Grovetown, GA 30813-2145
Phone (706) 446-4886

307 W Robinson Ave
Grovetown, GA 30813-2145
Phone (706) 760-7607

3324 Peach Orchard Rd
Augusta, GA 30906-4867

4244 Washington Rd
Evans, GA 30809-3087

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
236796GAMDFamily Nurse Practitioner
20563SCMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC CurrentSince Jul 18, 2023 Accepting new patients
Centerwell Senior Primary Care SC JV PC Current Accepting new patients
Centerwell Senior Primary Care SC JV PC CurrentSince Jul 10, 2023 Accepting new patients
University Medical Group LLC Current Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Jul 18, 2023 Accepting new patients
Centerwell Senior Primary Care SC JV PC CurrentSince Jul 10, 2023 Accepting new patients
Umg Primary Care South Carolina, LLC CurrentSince Apr 28, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
University Prompt Care Current Accepting new patients
Centerwell Senior Primary Care SC JV PC Past Accepting new patients
Centerwell Senior Primary Care (NC) PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

2001 E Greenville St
Anderson, SC 29621
Phone (864) 332-3098

3725 Renee Dr
Myrtle Beach, SC 29579
Phone (843) 350-1124

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

1612 Airport Blvd
West Columbia, SC 29169
Phone (803) 380-6399

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1003298274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "803-380-6399",
            "fax_number": "877-484-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 AIRPORT BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695016",
            "telephone_number": "803-380-6399",
            "fax_number": "877-484-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20563",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "236796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA APRN",
            "identifier": "236796",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN SC",
            "identifier": "20563",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.