Individual provider Active NPI

Makala Katuscak Smith, RD, LD

  • Registered Dietitian
  • Columbia, SC
National Provider Identifier
1083017222
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1235 Issued in SC
Practice address
2 Medical Park Rd Ste LL9
Columbia, SC 29203-6875
Phone
(803) 434-9660
Fax
(803) 434-9669
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1235 SC Primary

Addresses

Primary practice location

2 Medical Park Rd Ste LL9
Columbia, SC 29203-6875

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

102 US Highway 321 Byp N
Winnsboro, SC 29180-9251
Phone (803) 712-0372 ext. 372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826000753 SC Practitioner - Registered Dietitian Or Nutrition Professional 5092021717 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 19, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 19, 2024 Accepting new patients
Carolina Diabetes & Kidney Center, LLC CurrentSince Feb 8, 2017 Accepting new patients

Locations

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

2 Medical Park Rd
Lowr
Columbia, SC 29203
Phone (803) 434-6812

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

1724 Village Park Dr
Orangeburg, SC 29118
Phone (803) 531-6004

625 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAHAD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1083017222",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE LL9",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036875",
            "telephone_number": "803-434-9660",
            "fax_number": "803-434-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 US Highway 321 Byp N",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "SC",
            "postal_code": "291809251",
            "country_code": "US",
            "telephone_number": "803-712-0372 x372",
            "fax_number": "803-712-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAKALA",
        "middle_name": "KATUSCAK",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.