Active NPI
Sheronda Quiller Smith
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, SC
National Provider Identifier
1003668708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 29917
- Practice address
- 1601 Greene St
Columbia, SC 29208-4001 - Phone
- (803) 439-8238
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 29917 | SC | Primary |
Addresses
Primary practice location
1601 Greene St
Columbia, SC 29208-4001
Mailing address
1601 Greene St
Columbia, SC 29208-4001
Phone (803) 439-8238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
233 Winton Blount Loop
Montgomery, AL 36117-3507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Psychiatry Associates LLC | Current | Accepting new patients |
Locations
233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188
1211 Roberts St
Camden, SC 29020
Phone (330) 949-7420
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1003668708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 GREENE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292084001",
"telephone_number": "803-439-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GREENE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292084001",
"telephone_number": "803-439-8238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHERONDA",
"middle_name": "QUILLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "29917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.