Active NPI
Emily Kolodziej, NP
- Nurse Practitioner
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 29765
- Practice address
- 1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336 - Phone
- (844) 994-6633
- Fax
- (470) 300-7913
- NPI assigned
- Dec 20, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29765 | SC | Primary |
Addresses
Primary practice location
1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Mailing address
PO Box 29190
Belfast, ME 04915-2043
Phone (844) 994-6633
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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Myrtle Beach, SC 29577
Phone (843) 945-3234
1671 Belle Isle Ave
Suite 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6633
Hospital & facility affiliations
- Well Care Home Health of the Lowcountry Inc
- Amedisys Home Health of Myrtle Beach
- McLeod Loris Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Gomed Charleston LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients |
Locations
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
1671 Belle Isle Ave
Ste 110J
Mt Pleasant, SC 29464
Phone (844) 994-6633
2050 Corporate Centre Dr
Ste 220A
Myrtle Beach, SC 29577
Phone (843) 945-3234
Interoperability endpoints
- https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4
- emily.kolodziej.1@22872.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Mount Pleasant, SC
- NPI 1790254365
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Myrtle Beach, SC
- NPI 1033990544
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1154207769
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1811955065
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1124536446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1013725100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29190",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152043",
"telephone_number": "844-994-6633",
"fax_number": "470-300-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 BELLE ISLE AVE STE 110J",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648336",
"telephone_number": "844-994-6633",
"fax_number": "470-300-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLODZIEJ",
"first_name": "EMILY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "29765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.