Active NPI
Makala Katuscak Smith, RD, LD
- Registered Dietitian
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1235
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Carolina Diabetes & Kidney Center, LLC | Current | 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
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sumter, SC
- NPI 1689128951
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Family Medicine Physician
- Sumter, SC
- NPI 1871080283
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
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.