Individual provider Active NPI

Nioaka Nicole Campbell, M.D.

  • Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1083675615
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22533 Issued in SC
Practice address
15 Medical Park Rd
Suite 103
Columbia, SC 29203-8003
Phone
(803) 434-4300
Fax
(803) 434-4351
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 22533 SC Primary

Addresses

Primary practice location

15 Medical Park Rd
Suite 103
Columbia, SC 29203-8003

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506

Other practice location 2

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 324-3500

Other identifiers 1

IdentifierTypeStateIssuer
225330MedicaidSC

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
I20040709000214 SC Practitioner - PsychiatryPractitioner - NephrologyPractitioner - Neuropsychiatry 2062490824 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Nephrology
Education
University of South Carolina School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-Midlands 1,040 clinicians
Continuum Physician Management LLC 10 clinicians
Mental Illness Recovery Center 4 clinicians
South Carolina Dept of Mental Health Accounting Office 226 clinicians

Practice addresses (Care Compare)

11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 233-3236

2750 Laurel St
Suite 303
Columbia, SC 29204-2025
Phone (803) 939-2642

610 Faison Dr
Columbia, SC 29203-3218
Phone (803) 898-8523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22533SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jun 30, 2023 Accepting new patients
Musc Community Physicians CurrentSince Jun 30, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
Prisma Health Medical Group-Midlands Psychiatry CurrentSince Oct 26, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Current Accepting new patients
Continuum Physician Management LLC Psychiatry CurrentSince Sep 18, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 27, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 27, 2024 Accepting new patients
Mental Illness Recovery Center CurrentSince Sep 16, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 26, 2016 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

2750 Laurel St
Ste 303
Columbia, SC 29204
Phone (803) 252-1953

2750 Laurel St
Columbia, SC 29204
Phone (803) 939-2642

11 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-4506

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

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

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

3 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 296-2726

610 Faison Dr
Columbia, SC 29203
Phone (803) 898-8523

40 Pinnacle Pkwy
Ste 100
Elgin, SC 29045
Phone (803) 424-5160

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

1188 Stonecrest Blvd
Ste 110
Tega Cay, SC 29708
Phone (803) 233-3236

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7878c7ba-d1a3-4bd2-9b45-7234d7142c12/
  • Direct secure messaging: ncampbell378006@direct.ghs.myhfn.org

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1083675615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "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": "15 MEDICAL PARK RD",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038003",
            "telephone_number": "803-434-4300",
            "fax_number": "803-434-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Richland Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036863",
            "country_code": "US",
            "telephone_number": "803-434-4506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-324-3500",
            "fax_number": "803-327-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NIOAKA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "22533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225330",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.