NPIMap

Individual provider Active NPI

Nishanth Kodumuri, M.D.

  • Vascular Neurology Physician
  • Columbia, SC
National Provider Identifier
1093268781
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
39923 Issued in SC
Practice address
1301 Taylor St # 7a
Columbia, SC 29201-2942
Phone
(803) 254-6391
Fax
(803) 799-0682
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39923 SC
Neurology Physician 2084N0400X LL39923 SC
Vascular Neurology Physician 2084V0102X 39923 SC Primary

Addresses

Primary practice location

1301 Taylor St # 7a
Columbia, SC 29201-2942

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 533-8603

Other practice location 1

8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004
Phone (803) 434-8050

Other practice location 2

266 Joule St
Alcoa, TN 37701-2422
Phone (864) 984-3864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029001661 SC Practitioner - NeuropsychiatryPractitioner - Neurology 4880082593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeuropsychiatryAlso: Neurology
Education
Other, 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

Practice addresses (Care Compare)

8 Richland Medical Park Dr
Suite 420
Columbia, SC 29203-8004
Phone (803) 545-6050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL39923SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Neurology CurrentSince Nov 14, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 14, 2021 Accepting new patients

Locations

1301 Taylor St
Ste 7A
Columbia, SC 29201
Phone (803) 254-6391

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

8 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-8050

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

Interoperability endpoints

  • Direct secure messaging: nkodumuri381191@direct.ghs.myhfn.org

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093268781",
    "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": "864-533-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST # 7A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-254-6391",
            "fax_number": "803-799-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Richland Medical Park Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038004",
            "country_code": "US",
            "telephone_number": "803-434-8050",
            "fax_number": "803-933-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Joule St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012422",
            "country_code": "US",
            "telephone_number": "864-984-3864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODUMURI",
        "first_name": "NISHANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "39923",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL39923",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SC",
            "license": "39923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.