Aliya Poku Agyemang, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.29301 Issued in SC

Practice address

100 Palmetto Health Pkwy Ste G100
Columbia, SC 29212-1754

Phone

(803) 907-7850

Fax

(803) 296-7061

NPI assigned

Sep 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
• Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
• Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321
  Medicare reassignment Care Compare group NPD
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD

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

• Prisma Health Midlands

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, SC
  • NPI 1962471946

  Hospital

  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1033889795
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154197846
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154373843
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Coulmbia, SC
  • NPI 1154432458
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1306623137
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1396524104
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1508554452
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1811237985
  Care Compare affiliation

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1063247849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PALMETTO HEALTH PKWY STE G100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121754",
            "telephone_number": "803-907-7850",
            "fax_number": "803-296-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Jamison Cir",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694104",
            "country_code": "US",
            "telephone_number": "678-644-2973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POKU AGYEMANG",
        "first_name": "ALIYA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN.29301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Katherine Poinsette
• Point Podiatry
• Kimberly Pointer
• Darius D Poitier, LCSW, LISW-CP
• Renu Pokharna, MD
• Lisa Poling
• Jessica Shantelle Polite, LMT
• Mary O Polk
• Elizabeth Michelle Pollack, FNP
• Matthew R. Pollack, M.D.

• Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.