Individual provider Active NPI

Demetris Wright, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1023406774
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
19208 Issued in SC
Practice address
961 Roberts Branch Pkwy Ste 106231
Columbia, SC 29203-9149
Phone
(803) 728-0142
Fax
(336) 234-1002
NPI assigned
Jan 5, 2015
Reactivated
Mar 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19208 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19208 SC Primary

Addresses

Primary practice location

961 Roberts Branch Pkwy Ste 106231
Columbia, SC 29203-9149

Mailing address

961 Roberts Branch Pkwy Ste 106-231
Columbia, SC 29203-9149
Phone (803) 728-0142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150320001887 SC Practitioner - Nurse Practitioner 9234456724 Reassigns benefits to 2 organizations
I20220720003555 NC Practitioner - Nurse Practitioner 9234456724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Moonshot Psychiatric Nurse Practitioner PC Family CurrentSince Aug 3, 2025 Accepting new patients
A Practitioners Touch Family CurrentSince Aug 8, 2018 Accepting new patients
Straight Walk Family Services, Inc CurrentSince Apr 20, 2023 Accepting new patients
Lifesource of North Carolina CurrentSince Jun 1, 2022 Accepting new patients
Straight Walk Family Services Past Accepting new patients
Itrust Wellness Group Therapeutics PastSince Aug 1, 2021 Accepting new patients
Itrust Cares LLC Psychiatric/Mental Health PastSince Aug 30, 2021 Accepting new patients

Locations

505 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 212-5524

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

961 Roberts Branch Pkwy
Ste 106231
Columbia, SC 29203
Phone (803) 728-0142

961 Roberts Branch Pkwy
Ste 106
Columbia, SC 29203
Phone (803) 348-2309

6615 Two Notch Rd
Ste A4
Columbia, SC 29223

2638 Two Notch Rd
Ste 210
Columbia, SC 29204
Phone (803) 497-2274

101 N Pine St
Ste 414D
Spartanburg, SC 29302

Interoperability endpoints

  • Direct secure messaging: straightwalkfamilyservices.demetriswright@143676.advancedmd-direct.com
  • Direct secure messaging: demetris.wright@746395612545028.direct.elationemr.com

Organizations & group practices 7

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1023406774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 ROBERTS BRANCH PKWY STE 106-231",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039149",
            "telephone_number": "803-728-0142",
            "fax_number": "336-234-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 ROBERTS BRANCH PKWY STE 106231",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039149",
            "telephone_number": "803-728-0142",
            "fax_number": "336-234-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DEMETRIS",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "deactivation_date": "2026-02-18",
        "reactivation_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19208",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "19208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.