Individual provider Active NPI

Adam Culbertson, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1245849835
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24121 Issued in SC
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

Updated by the provider on Nov 1, 2022

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 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

IdentifierTypeStateIssuer
NP7833MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, KY, OH, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20201005000309 NC Practitioner - Nurse Practitioner 5799104154 Reassigns benefits to 4 organizations
I20210728003541 SC Practitioner - Nurse Practitioner 5799104154 Reassigns benefits to 5 organizations
I20231010001155 KY Practitioner - Nurse Practitioner 5799104154 Reassigns benefits to 4 organizations
I20231025001781 OH Practitioner - Nurse Practitioner 5799104154 Reassigns benefits to 3 organizations
I20231205003636 IN Practitioner - Nurse Practitioner 5799104154 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

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

LicenseStateTypeSpecialty
24121SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince Dec 12, 2024 Accepting new patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
SC House Calls Inc CurrentSince Apr 1, 2022 Accepting new patients
Eventus WH Southeast, LLC CurrentSince Jan 1, 2025 Accepting new patients
Eventus WH Midwest Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
SC House Calls Inc CurrentSince Apr 1, 2022 Accepting new patients
Eventus Ecs - Ohio LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Aug 29, 2023 Accepting new patients
Eventus Value Care, LLC CurrentSince Nov 15, 2025 Accepting new patients
Eventus WH Southeast - South Carolina, LLC CurrentSince Oct 1, 2025 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 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.

View all 13

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

Verify at the official NPI Registry.