NPIMap

Individual provider Active NPI

Nardine Smoak, MD

  • Internal Medicine Physician
  • Clemson, SC
National Provider Identifier
1295362903
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
91527 Issued in SC
Practice address
101 Chapman Hill Rd
Clemson, SC 29631-2194
Phone
(864) 653-4071
Fax
(864) 653-4074
NPI assigned
Mar 24, 2020
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 91527 SC Primary

Addresses

Primary practice location

101 Chapman Hill Rd
Clemson, SC 29631-2194

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 236-1950

Other names 1

  • Nardine MDM Abdelsayed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222002869 SC Practitioner - Internal Medicine 6406272475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Chapman Hill Rd
Suite 201
Clemson, SC 29631-2194
Phone (864) 653-4071

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Mar 24, 2024 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Mar 24, 2024 Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients

Locations

101 Chapman Hill Rd
Clemson, SC 29631
Phone (864) 653-4071

101 Chapman Hill Rd
Ste 201
Clemson, SC 29631
Phone (864) 653-4071

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: nardine.abdelsayed@hca5.eclinicaldirectplus.com
  • Direct secure messaging: nsmoak759576@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 49

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1295362903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHAPMAN HILL RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312194",
            "telephone_number": "864-653-4071",
            "fax_number": "864-653-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "29572",
            "country_code": "US",
            "telephone_number": "843-236-1950",
            "fax_number": "843-236-1952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOAK",
        "first_name": "NARDINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "91527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARDINE",
            "last_name": "ABDELSAYED",
            "middle_name": "MDM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.