Individual provider Active NPI

Ashley Nichole Baxley, APRN

  • Family Nurse Practitioner
  • Irmo, SC
National Provider Identifier
1023852159
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29008 Issued in SC
Practice address
7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone
(803) 749-1111
Fax
(803) 749-0050
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29008 SC Primary

Addresses

Primary practice location

7182 Woodrow St Ste 200
Irmo, SC 29063-2958

Mailing address

7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone (803) 749-1111

Other practice location 1

7021 Saint Andrews Rd Ste 2
Columbia, SC 29212-1177
Phone (803) 749-1111

Other practice location 2

1 Wellness Blvd Ste 109
Irmo, SC 29063-2872
Phone (803) 749-1111

Other practice location 3

1 Wellness Blvd Ste 202
Irmo, SC 29063-2873
Phone (803) 749-1111

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
I20240809002907 SC Practitioner - Nurse Practitioner 6204374127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7182 Woodrow St
Suite 200
Irmo, SC 29063-2832
Phone (803) 749-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29008SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Internal Medicine Associates and Rehabilitation,L.L.C. CurrentSince Jul 30, 2024 Accepting new patients

Locations

7021 Saint Andrews Rd
Ste 2
Columbia, SC 29212
Phone (803) 749-1111

1901 Main St
#1105
Columbia, SC 29201

1 Wellness Blvd
Ste 109
Irmo, SC 29063
Phone (803) 749-1111

7182 Woodrow St
Ste 200
Irmo, SC 29063
Phone (803) 749-1111

1 Wellness Blvd
Ste 202
Irmo, SC 29063
Phone (803) 470-7040

Interoperability endpoints

  • Direct secure messaging: abaxley797563@direct.ghs.myhfn.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1023852159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Saint Andrews Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wellness Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632872",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wellness Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.