Individual provider Active NPI

Syreeta Dendy, NP-C

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1043754005
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 20617 Issued in SC
Practice address
244 Wild Olive Dr
Columbia, SC 29229-8179
Phone
(864) 266-4631
NPI assigned
Dec 10, 2016
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 APRN 20617 SC Primary

Addresses

Primary practice location

244 Wild Olive Dr
Columbia, SC 29229-8179

Mailing address

200 S Liberty St Apt 21
Spartanburg, SC 29306-3259
Phone (864) 753-1854

Other practice location 1

12 Groce Rd
Lyman, SC 29365-1631
Phone (864) 439-1345

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
I20170602000737 SC Practitioner - Nurse Practitioner 4880961465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Medical Center LLCGroup PAC ID 6103256284, 3 clinicians

Practice addresses (Care Compare)

12 Groce Rd
Lyman, SC 29365-1631
Phone (864) 439-1345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN 20617SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Center LLC CurrentSince Dec 26, 2024 Accepting new patients

Locations

12 Groce Rd
Lyman, SC 29365
Phone (864) 326-9183

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17366/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1043754005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S LIBERTY ST APT 21",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063259",
            "telephone_number": "864-753-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILD OLIVE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298179",
            "telephone_number": "864-266-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Groce Rd",
            "address_purpose": "LOCATION",
            "city": "Lyman",
            "state": "SC",
            "postal_code": "293651631",
            "country_code": "US",
            "telephone_number": "864-439-1345",
            "fax_number": "864-439-1346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENDY",
        "first_name": "SYREETA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-10",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APRN 20617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.