Individual provider Active NPI

Manuel Alejandro Paez Escamilla, MD

  • Ophthalmology Physician
  • West Columbia, SC
National Provider Identifier
1053873844
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
95389 Issued in SC
Practice address
124 Sunset CT
West Columbia, SC 29169-2429
Phone
(803) 931-0077
NPI assigned
Apr 2, 2019
Last updated
Feb 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 95389 SC Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 95389 SC

Addresses

Primary practice location

124 Sunset CT
West Columbia, SC 29169-2429

Mailing address

124 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 931-0077

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
I20250915002947 SC Practitioner - Ophthalmology 8325469315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Retina Center LLCGroup PAC ID 4486741980, 13 clinicians

Practice addresses (Care Compare)

124 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 744-0156

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95389SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Retina Center P.a. Ophthalmology Current Accepting new patients
Palmetto Retina Center LLC Ophthalmology CurrentSince Aug 4, 2025 Accepting new patients

Locations

1831 W Evans St
Ste 315
Florence, SC 29501
Phone (803) 736-7200

124 Sunset Ct
West Columbia, SC 29169
Phone (803) 744-0155

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: manuel.paezescamilla.p1@direct.palmettoretina.nextgenshare.com
  • Direct secure messaging: mpescamilla@carolinaretinacenter.intellechartdirect.net

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1053873844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SUNSET CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-931-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SUNSET CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-931-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ ESCAMILLA",
        "first_name": "MANUEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "95389",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "SC",
            "license": "95389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.