Active NPI
Natalia Correal
- Physician Assistant
- Columbia, SC
National Provider Identifier
1013606789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5264
- Practice address
- 145 Park Central Dr Ste 100
Columbia, SC 29203-6469 - Phone
- (803) 736-3277
- NPI assigned
- May 8, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5264 | SC | Primary |
Addresses
Primary practice location
145 Park Central Dr Ste 100
Columbia, SC 29203-6469
Mailing address
3230 McLendon Rd
Matthews, NC 28104-8510
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5264 | SC | MD | Occupational Therapy Assistant |
Interoperability endpoints
- ncorreal475729@direct.musc.edu
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1013606789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 MCLENDON RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281048510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 PARK CENTRAL DR STE 100",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036469",
"telephone_number": "803-736-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREAL",
"first_name": "NATALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5264",
"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 May 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.