Individual provider Active NPI

Edna Frazier, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1215649660
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26881 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 16, 2022
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 26881 SC Primary

Addresses

Primary practice location

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

Mailing address

PO Box 6130
Spartanburg, SC 29304-6130
Phone (864) 583-0053

Other identifiers 1

IdentifierTypeStateIssuer
NP9523MedicaidSC

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
I20230818002477 SC Practitioner - Nurse Practitioner 3173985306 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group South Carolina LLCGroup PAC ID 9638579352, 7 clinicians

Practice addresses (Care Compare)

20 Pinnacle Pkwy
Elgin, SC 29045-8389
Phone (260) 407-8007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC CurrentSince Mar 1, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Feb 1, 2025 Accepting new patients
Impact Physician Group, South Carolina LLC Family CurrentSince Dec 10, 2025 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Feb 1, 2025 Accepting new patients
Carolinas Center for Advanced Management of Pain CurrentSince Jun 19, 2023 Accepting new patients
Carolinas Center for Advanced Management of Pain, LLC CurrentSince Jun 19, 2023 Accepting new patients
Impact Physician Group Texas Physiatry Services LLC CurrentSince Dec 27, 2025 Accepting new patients

Locations

3085 Taylor Rd
Cayce, SC 29033
Phone (803) 258-8240

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

20 Pinnacle Pkwy
Elgin, SC 29045
Phone (260) 407-8007

1000 Wellness Way
Fort Mill, SC 29715
Phone (803) 329-1234

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

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 7

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 1

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1215649660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6130",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293046130",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0147"
        },
        {
            "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": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "EDNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9523",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.