Individual provider Active NPI

Jonathan O Nwanagu, MD

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1023087756
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21430 Issued in SC
Practice address
1333 Taylor St Ste 3J
Columbia, SC 29201-2947
Phone
(803) 727-1935
Fax
(803) 254-0070
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21430 SC Primary

Addresses

Primary practice location

1333 Taylor St Ste 3J
Columbia, SC 29201-2947

Mailing address

PO Box 7481
Columbia, SC 29202-7481
Phone (803) 727-1935

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000587 SC Practitioner - Obstetrics/Gynecology 7214062496 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1333 Taylor St
Suite 3J
Columbia, SC 29201-2947
Phone (803) 727-1935

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21430SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kraemer Womens Care, LLC Obstetrics & Gynecology CurrentSince Nov 9, 2024 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Mar 23, 2020 Accepting new patients
Sandhills OBGYN Associates, P.a. Obstetrics & Gynecology CurrentSince Jan 1, 2012 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Capital City OB-GYN Associates PA Obstetrics & Gynecology PastSince May 11, 1995 Accepting new patients

Locations

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

700 Gervais St
Ste 125
Columbia, SC 29201

1333 Taylor St
Ste 2D
Columbia, SC 29201
Phone (803) 254-1300

1333 Taylor St
Ste 3J
Columbia, SC 29201
Phone (803) 296-7350

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

3221 Sunset Blvd
Ste A
West Columbia, SC 29169
Phone (803) 798-7660

Interoperability endpoints

  • Direct secure messaging: jnwanagu@soap-sc.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1023087756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7481",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292027481",
            "telephone_number": "803-727-1935",
            "fax_number": "803-254-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 TAYLOR ST STE 3J",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012947",
            "telephone_number": "803-727-1935",
            "fax_number": "803-254-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANAGU",
        "first_name": "JONATHAN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.