Individual provider Active NPI

Tiona Guess Praylow, MD

  • Child & Adolescent Psychiatry Physician
  • West Columbia, SC
National Provider Identifier
1013178334
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MMD.35843 TL Issued in SC
Practice address
2900 Sunset Blvd
West Columbia, SC 29169-3422
Phone
(803) 744-3205
NPI assigned
Jun 19, 2008
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 149375 NC
Child & Adolescent Psychiatry Physician 2084P0804X MMD.35843 TL SC Primary

Addresses

Primary practice location

2900 Sunset Blvd
West Columbia, SC 29169-3422

Mailing address

2900 Sunset Blvd
West Columbia, SC 29169-3422
Phone (803) 744-3205

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000026 SC Practitioner - NeuropsychiatryPractitioner - Psychiatry 7315181336 Reassigns benefits to 3 organizations
I20210405000576 GA Practitioner - Psychiatry 7315181336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Duke University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trusted Results Therapy Group LLCGroup PAC ID 8022552769, 7 clinicians

Practice addresses (Care Compare)

2000 Sam Rittenberg Blvd
Suite 2011
Charleston, SC 29407-4631
Phone (843) 793-2104

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35843SCMDPharmacist
MMD.35843 TLSCMDChild & Adolescent Psychiatry Physician
149375NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group Child & Adolescent Psychiatry CurrentSince Jun 3, 2024 Accepting new patients
Self Medical Group CurrentSince Jun 3, 2024 Accepting new patients
Three Rivers Behavioral Health LLC CurrentSince Jul 1, 2013 Accepting new patients
Inner Community Health CurrentSince Jul 17, 2023 Accepting new patients
Great Destiny LLC Child & Adolescent Psychiatry Current Accepting new patients
Self Medical Group Current Accepting new patients
Three Rivers Residential Treatment Midlands Campus, Inc. Past Accepting new patients

Locations

2180 Satellite Blvd
Ste 400
Duluth, GA 30097
Phone (678) 640-7247

10700 Medlock Bridge Rd
Ste 104
Johns Creek, GA 30097
Phone (770) 476-9885

223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554

75 Remittance Dr
Dept 6764
Chicago, IL 60675

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

2900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 744-3206

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1013178334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693422",
            "telephone_number": "803-744-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693422",
            "telephone_number": "803-744-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAYLOW",
        "first_name": "TIONA",
        "middle_name": "GUESS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "149375",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "MMD.35843 TL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.