Individual provider Active NPI

Rich Hong Pak, FNP

  • Nurse Practitioner
  • Elgin, SC
National Provider Identifier
1306620299
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32088 Issued in SC
Practice address
40 Pinnacle Pkwy Ste 212
Elgin, SC 29045-8390
Phone
(803) 424-8022
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32088 SC Primary

Addresses

Primary practice location

40 Pinnacle Pkwy Ste 212
Elgin, SC 29045-8390

Mailing address

40 Pinnacle Pkwy Ste 212
Elgin, SC 29045-8390
Phone (803) 424-8022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20231213001846 GA Practitioner - Nurse Practitioner 6305295585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1538 13TH Ave
Suite a
Columbus, GA 31901-2544
Phone (706) 323-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Nov 29, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Nov 29, 2023 Accepting new patients

Locations

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

1538 13th Ave
Ste A
Columbus, GA 31901
Phone (706) 323-4000

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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 1

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1306620299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY STE 212",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY STE 212",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "RICH",
        "middle_name": "HONG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "32088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "endpointDescription": "SKIP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "40 Pinnacle Pkwy Ste 212",
            "city": "Elgin",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290458390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

Verify at the official NPI Registry.