Individual provider Active NPI

Deepa Sobti, M.D.

  • Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1124058458
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17952 Issued in SC
Practice address
1800 Colonial Dr
Columbia, SC 29203-6827
Phone
(803) 898-8405
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 17952 SC Primary

Addresses

Primary practice location

1800 Colonial Dr
Columbia, SC 29203-6827

Mailing address

PO Box 485
Columbia, SC 29202-0485
Phone (803) 898-8405

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
LL1898MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17952SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Psychiatry Current Accepting new patients
Middle Flint Area Community Service Board CurrentSince May 13, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 1, 2018 Accepting new patients
Middle Flint Area Community Service Board Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

415 N Jackson St
Americus, GA 31709
Phone (229) 815-5454

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

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

Organizations & group practices 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1124058458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020485",
            "telephone_number": "803-898-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036827",
            "telephone_number": "803-898-8405"
        }
    ],
    "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"
        }
    ],
    "basic": {
        "last_name": "SOBTI",
        "first_name": "DEEPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "17952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LL1898",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.