Individual provider Active NPI

Natalie E Conde, PA-C

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1194044495
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4947 Issued in SC
Practice address
2601 Rosewood Dr
Columbia, SC 29205-3745
Phone
(803) 782-4051
Fax
(803) 790-6612
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02035 NC
Physician Assistant 363A00000X PA9105106 FL
Physician Assistant 363A00000X 4947 SC Primary

Addresses

Primary practice location

2601 Rosewood Dr
Columbia, SC 29205-3745

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

700 W Oak St
Kissimmee, FL 34741-4924
Phone (407) 518-3801

Other practice location 2

2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 533-8111

Other practice location 3

410 S 11th St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

Other practice location 4

2601 Rosewood Dr
Columbia, SC 29205-3745
Phone (803) 782-4051

Other practice location 5

1700 E Venice Ave
Venice, FL 34292-3190
Phone (877) 748-1114

Other names 1

  • Mrs. Natalie E Conde-Cole Former name

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
I20110927000458 FL Practitioner - Physician Assistant 5597895706 Reassigns benefits to 3 organizations
I20231227001684 SC Practitioner - Physician Assistant 5597895706 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2515OKMDClinical Social Worker
PA9105106FLMDPhysician Assistant
0010-02035NCMDPhysician Assistant
4947SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intensivist Medicine Services of FL, LLC CurrentSince Feb 13, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 1, 2025 Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
Guidewell Emergency Medicine Doctors, LLC PastSince Apr 6, 2025 Accepting new patients
Quality Primary Care P a Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2901 W Swann Ave
Fl S
Tampa, FL 33609
Phone (813) 873-6400

1700 E Venice Ave
Venice, FL 34292
Phone (941) 483-9760

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: natalie.conde.1@4290.direct.athenahealth.com

Organizations & group practices 12

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1194044495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053745",
            "telephone_number": "803-782-4051",
            "fax_number": "803-790-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414924",
            "country_code": "US",
            "telephone_number": "407-518-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Osprey Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338303308",
            "country_code": "US",
            "telephone_number": "863-533-8111",
            "fax_number": "863-519-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534203",
            "country_code": "US",
            "telephone_number": "863-676-1433",
            "fax_number": "941-676-9323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Rosewood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292053745",
            "country_code": "US",
            "telephone_number": "803-782-4051",
            "fax_number": "803-790-6612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342923190",
            "country_code": "US",
            "telephone_number": "877-748-1114",
            "fax_number": "941-499-5409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDE",
        "first_name": "NATALIE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02035",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105106",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "CONDE-COLE",
            "middle_name": "E",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.