Individual provider Active NPI

Ngozi Patricia Nnadi, MD

  • Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1063504678
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22112 Issued in SC
Practice address
1800 Colonial Dr
Suite 170
Columbia, SC 29203-6827
Phone
(803) 898-8378
NPI assigned
Sep 29, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22112 SC Primary

Addresses

Primary practice location

1800 Colonial Dr
Suite 170
Columbia, SC 29203-6827

Mailing address

1800 Colonial Dr
Suite 170
Columbia, SC 29203-6827
Phone (803) 898-8378

Other identifiers 1

IdentifierTypeStateIssuer
190166MedicaidSC

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
I20111219000012 SC Practitioner - Psychiatry 3173798378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 Otarre Pkwy
Cayce, SC 29033-3751
Phone (803) 898-4566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22112SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 8, 2011 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Nov 8, 2011 Accepting new patients

Locations

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2100 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 212-8968

701 E Bay St
#1110
Charleston, SC 29403
Phone (843) 727-2000

1800 Colonial Dr
Ste 170
Columbia, SC 29203
Phone (803) 898-8378

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2414 Bull St
#3183
Columbia, SC 29201

Organizations & group practices 3

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1063504678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COLONIAL DR",
            "address_2": "SUITE 170",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036827",
            "telephone_number": "803-898-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLONIAL DR",
            "address_2": "SUITE 170",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036827",
            "telephone_number": "803-898-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNADI",
        "first_name": "NGOZI",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "22112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190166",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.