Individual provider Active NPI

Emily Kolodziej, NP

  • Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1013725100
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29765 Issued in SC
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

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818001802 SC Practitioner - Nurse Practitioner 4486153327 Reassigns benefits to 2 organizations

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
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians
Gomed Charleston LLCGroup PAC ID 6608114251, 8 clinicians

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 Home health agency, Myrtle Beach, SC, CCN 427138
  • Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Jun 30, 2025 Accepting new patients
Gomed Charleston LLC CurrentSince Jul 2, 2025 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jun 30, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.