Individual provider Active NPI

Cheryl Laverne Suber, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1245451269
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3188 Issued in SC
Practice address
115 Atrium Way Ste 221
Columbia, SC 29223-6383
Phone
(843) 501-1099
Fax
(803) 699-8824
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3188 SC Primary
Family Nurse Practitioner 363LF0000X 3188 SC

Addresses

Primary practice location

115 Atrium Way Ste 221
Columbia, SC 29223-6383

Mailing address

220 Brooksdale Dr
Columbia, SC 29229-8415
Phone (803) 446-3830

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
I20070627000200 SC Practitioner - Nurse Practitioner 9739288085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bogan Sleep ConsultantsGroup PAC ID 0143507285, 6 clinicians

Practice addresses (Care Compare)

1333 Taylor St
Suite 6B
Columbia, SC 29201-2953
Phone (803) 251-3093

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Merit-based Incentive Payment System (MIPS)

Final score
95.24 of 100Reported as group
Quality
86.38
Improvement activities
40
Cost
73.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3188SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of South Carolina LLC CurrentSince Jul 1, 2024 Accepting new patients
Bogan Sleep Consultants CurrentSince Mar 24, 2024 Accepting new patients
Charleston Counseling Center PC CurrentSince Jul 14, 2023 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1333 Taylor St
Ste 6B
Columbia, SC 29201
Phone (803) 251-3093

115 Atrium Way
Ste 221
Columbia, SC 29223
Phone (803) 699-8887

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1245451269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BROOKSDALE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298415",
            "telephone_number": "803-446-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ATRIUM WAY STE 221",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236383",
            "telephone_number": "843-501-1099",
            "fax_number": "803-699-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBER",
        "first_name": "CHERYL",
        "middle_name": "LAVERNE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "3188",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.