Active NPI
Adam Culbertson, APRN
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24121
- Practice address
- 111 Doctor Cir
Columbia, SC 29203-6502 - Phone
- (800) 491-0909
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24121 | SC | Primary |
Addresses
Primary practice location
111 Doctor Cir
Columbia, SC 29203-6502
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7833 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, KY, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247
1703 Laurel St
Columbia, SC 29201-2660
Phone (855) 743-2247
2 Office Park CT
Suite 103
Columbia, SC 29223-5948
Phone (855) 743-2247
212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247
3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081
828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24121 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Ecs, Inc | Current | Accepting new patients | |
| Eventus Wholehealth Aco LLC | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Eventus WH Southeast, LLC | Current | Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Eventus Ecs - Ohio LLC | Family | Current | Accepting new patients |
| Extended Care Specialists, Inc | Family | Current | Accepting new patients |
| Eventus Value Care, LLC | Current | Accepting new patients | |
| Eventus WH Southeast - South Carolina, LLC | Current | Accepting new patients | |
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Eventus WH PLLC Care, LLC | Current | Accepting new patients |
Locations
4430 Elsdale Dr
Fort Wayne, IN 46835
Phone (260) 485-8157
150 W Market St
Ste 400
Indianapolis, IN 46204
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
8398 Mississippi St
Fl 2
Merrillville, IN 46410
922 State St
Fl 4
Bowling Green, KY 42101
306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217
212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900
3958 Brown Park Dr
Ste D
Hilliard, OH 43026
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Organizations & group practices 13
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1487494811
SC
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
Family, KY, OH
-
- Nurse Practitioner
- Columbia, SC
- NPI 1790503571
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Geriatric Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1023796307
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1245849835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERTSON",
"first_name": "ADAM",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "24121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP7833",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.