Individual provider Active NPI

Reajean Certeza Camacho, NP-C

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1134497159
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23923 Issued in SC
Practice address
7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177
Phone
(803) 791-7175
Fax
(803) 791-7176
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23923 SC Primary

Addresses

Primary practice location

7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177

Mailing address

7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177
Phone (803) 791-7175

Other practice location 1

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

Other practice location 2

1506 N Fant St
Anderson, SC 29621-4708
Phone (864) 260-6995

Other practice location 3

10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554
Phone (864) 295-6399

Other practice location 4

279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053

Other practice location 5

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 6

7613 Garners Ferry Rd
Columbia, SC 29209-3811
Phone (839) 600-9190

Other practice location 7

2989 Sunset Blvd
West Columbia, SC 29169-3497
Phone (803) 419-7780

Other practice location 8

74 Polo Rd
Columbia, SC 29223-2806
Phone (803) 419-7780

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000099 SC Practitioner - Nurse Practitioner 8224396593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians
Carolinas Center for Advanced Management of Pain PAGroup PAC ID 4880593771, 5 clinicians
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053

7021 Saint Andrews Rd
Suite 1
Columbia, SC 29212-1177
Phone (803) 791-7175

7613 Garners Ferry Rd
Columbia, SC 29209-3811
Phone (839) 600-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Jan 1, 2026 Accepting new patients
Carolinas Center for Advanced Management of Pain, LLC CurrentSince Aug 1, 2023 Accepting new patients
Carolinas Center for Advanced Management of Pain CurrentSince Aug 1, 2023 Accepting new patients

Locations

1506 N Fant St
Anderson, SC 29621
Phone (864) 260-6995

7021 Saint Andrews Rd
Ste 1
Columbia, SC 29212
Phone (803) 749-7751

7613 Garners Ferry Rd
Columbia, SC 29209
Phone (839) 600-9190

10 Enterprise Blvd
Ste 201
Greenville, SC 29615
Phone (864) 234-7815

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

279 E Kennedy St
Spartanburg, SC 29302
Phone (864) 583-0053

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20461/brand/1/csg/21/fhir/r4

Organizations & group practices 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1134497159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 SAINT ANDREWS RD STE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121177",
            "telephone_number": "803-791-7175",
            "fax_number": "803-791-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 SAINT ANDREWS RD STE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121177",
            "telephone_number": "803-791-7175",
            "fax_number": "803-791-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Doctor Cir",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036502",
            "country_code": "US",
            "telephone_number": "800-491-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 N Fant St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296214708",
            "country_code": "US",
            "telephone_number": "864-260-6995",
            "fax_number": "864-884-9909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Enterprise Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153554",
            "country_code": "US",
            "telephone_number": "864-295-6399",
            "fax_number": "864-295-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 E Kennedy St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021912",
            "country_code": "US",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7613 Garners Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292093811",
            "country_code": "US",
            "telephone_number": "839-600-9190",
            "fax_number": "839-600-9195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2989 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693497",
            "country_code": "US",
            "telephone_number": "803-419-7780",
            "fax_number": "803-419-7781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 Polo Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292232806",
            "country_code": "US",
            "telephone_number": "803-419-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "REAJEAN",
        "middle_name": "CERTEZA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.