Individual provider Active NPI

Andreina Naomi Paige, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1235715400
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24918 Issued in SC
Practice address
900 Assembly St # 830
Columbia, SC 29201-3938
Phone
(803) 212-7016
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 24918 SC Primary

Addresses

Primary practice location

900 Assembly St # 830
Columbia, SC 29201-3938

Mailing address

1108 Rockwood Rd
Columbia, SC 29209-2471
Phone (803) 606-0104

Other practice location 1

1108 Rockwood Rd
Columbia, SC 29209-2471
Phone (803) 606-0104

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
I20230605000825 SC Practitioner - Nurse Practitioner 0941667190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

900 Assembly St
Columbia, SC 29201-3938
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Jan 1, 2023 Accepting new patients
South Carolina CVS Pharmacy LLC PastSince May 9, 2021 Accepting new patients

Locations

900 Assembly St
#830
Columbia, SC 29201
Phone (803) 212-7016

900 Assembly St
Columbia, SC 29201
Phone (803) 212-7016

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1235715400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ROCKWOOD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092471",
            "telephone_number": "803-606-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ASSEMBLY ST # 830",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013938",
            "telephone_number": "803-212-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Rockwood Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092471",
            "country_code": "US",
            "telephone_number": "803-606-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "ANDREINA",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.