Individual provider Active NPI

Misti Dawn Thomas

  • Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1134695547
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9294232 Issued in FL
Practice address
112 Saluda Ridge CT Ste 200
West Columbia, SC 29169-3461
Phone
(803) 999-1750
Fax
(803) 999-1754
NPI assigned
Oct 23, 2018
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9294232 FL Primary

Addresses

Primary practice location

112 Saluda Ridge CT Ste 200
West Columbia, SC 29169-3461

Mailing address

112 Saluda Ridge CT Ste 200
West Columbia, SC 29169-3461
Phone (803) 999-1750

Other practice location 1

4995 LaCross Rd Ste 1200A
North Charleston, SC 29406-6542
Phone (803) 999-1750

Other practice location 2

106 Lansford Ct
Myrtle Beach, SC 29588-3501
Phone (803) 999-1750

Other practice location 3

3516 S Live Oak Dr Unit C
Moncks Corner, SC 29461-8762
Phone (803) 999-1750

Other practice location 4

775 Woodruff Rd Ste 2A
Greenville, SC 29607-3558
Phone (803) 999-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200121001483 FL Practitioner - Nurse Practitioner 8426483470 Reassigns benefits to 1 organization
I20241206000722 SC Practitioner - Nurse Practitioner 8426483470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intramed Plus Infusion and Medical Center, LLCGroup PAC ID 3577998715, 5 clinicians

Practice addresses (Care Compare)

112 Saluda Ridge CT
Suite 200
West Columbia, SC 29169-3461
Phone (803) 794-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intramed Plus Infusion & Medical Center, LLC CurrentSince Oct 14, 2024 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Option Care Infusion Suites, LLC Nurse Practitioner PastSince Oct 14, 2024 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

775 Woodruff Rd
Ste 2A
Greenville, SC 29607

3516 S Live Oak Dr
Unit C
Moncks Corner, SC 29461
Phone (803) 999-1750

106 Lansford Ct
Myrtle Beach, SC 29588
Phone (843) 293-8850

4995 Lacross Rd
Ste 1200A
North Charleston, SC 29406
Phone (843) 763-2080

112 Saluda Ridge Ct
Ste 200
West Columbia, SC 29169
Phone (803) 358-0158

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1134695547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SALUDA RIDGE CT STE 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693461",
            "telephone_number": "803-999-1750",
            "fax_number": "803-999-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SALUDA RIDGE CT STE 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693461",
            "telephone_number": "803-999-1750",
            "fax_number": "803-999-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4995 LaCross Rd Ste 1200A",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294066542",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "fax_number": "803-999-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Lansford Ct",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295883501",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "fax_number": "803-999-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3516 S Live Oak Dr Unit C",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294618762",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "fax_number": "803-999-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Woodruff Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073558",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "fax_number": "803-999-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MISTI",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9294232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.