NPIMap

Individual provider Active NPI

David Douglas Moffat II, M.D.

  • Surgery Physician
  • Columbia, SC
National Provider Identifier
1063809713
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
100159664 Issued in SC
Practice address
1850 Laurel St Ste 1a
Columbia, SC 29201-2658
Phone
(803) 376-5982
Fax
(803) 376-5987
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 100159664 SC Primary

Addresses

Primary practice location

1850 Laurel St Ste 1a
Columbia, SC 29201-2658

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200721004417 NC Practitioner - General Surgery 4284934530 Reassigns benefits to 3 organizations
I20211004001729 SC Practitioner - General Surgery 4284934530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

1850 Laurel St
Suite 1a
Columbia, SC 29201-2658
Phone (803) 256-6400

965 State Farm Rd
Boone, NC 28607-4948
Phone (828) 264-2340

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100159664SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices LLC CurrentSince Apr 22, 2025 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 23, 2021 Accepting new patients
Appalachian Regional Medical Associates, Inc. Surgery CurrentSince Apr 24, 2024 Accepting new patients
DLP Maria Parham Physician Practices, LLC Surgery CurrentSince Apr 22, 2025 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Morehead Memorial Hospital Current Accepting new patients
Prisma Health Medical Group-Midlands Surgery CurrentSince Aug 23, 2021 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients
Unc Rockingham Health Care, Inc. Past Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

965 State Farm Rd
Boone, NC 28607
Phone (704) 264-2340

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

1120 Roberts Branch Pkwy
#300
Columbia, SC 29203

1850 Laurel St
Ste 1A
Columbia, SC 29201
Phone (803) 296-7305

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: dmoffat515521@direct.ghs.myhfn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 11

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1063809713",
    "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": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAUREL ST STE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012658",
            "telephone_number": "803-376-5982",
            "fax_number": "803-376-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "DAVID",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-09-23",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "100159664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.