Individual provider Active NPI

Dagmar M. Devlin, FNP-BC

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1043343767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
87 Issued in SC
Practice address
2133 Walker Solomon Way
Columbia, SC 29204
Phone
(803) 296-3244
Fax
(803) 296-3245
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 87 SC Primary

Addresses

Primary practice location

2133 Walker Solomon Way
Columbia, SC 29204

Mailing address

4245 Donavan Dr
Columbia, SC 29210-4305
Phone (803) 772-4475

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
I20250707000612 SC Practitioner - Nurse Practitioner 6901310606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Richland Alcohol and Drug Abuse Council, IncGroup PAC ID 3577643170, 2 clinicians

Practice addresses (Care Compare)

2711 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 726-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87SCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Richland Alcohol & Drug Abuse Council, Inc. CurrentSince Apr 10, 2025 Accepting new patients
Lexington Richland Alcohol & Drug Abuse Council, Inc. PastSince Nov 26, 2023 Accepting new patients

Locations

2711 Colonial Dr
Columbia, SC 29203
Phone (803) 726-9300

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043343767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 DONAVAN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104305",
            "telephone_number": "803-772-4475",
            "fax_number": "803-296-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 WALKER SOLOMON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-296-3244",
            "fax_number": "803-296-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "DAGMAR",
        "middle_name": "M.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.