Active NPI
Violetta Czepowicz, M.D.
- Psychiatry Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16304
- Practice address
- 701 Grove Rd FL 1
Greenville, SC 29605-4210 - Phone
- (864) 422-7899
- NPI assigned
- Dec 2, 2005
- Last updated
- Jan 6, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16304 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd FL 1
Greenville, SC 29605-4210
Mailing address
PO Box 2585
Columbus, GA 31902-2585
Phone (706) 660-8505
Other practice location 1
152 Waccamaw Medical Park Dr
Conway, SC 29526-8901
Phone (843) 347-8871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163049 | Medicaid | SC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone (843) 347-5060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16304 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| HHC South Carolina Inc | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Lower Cape Fear Hospice, Incorporated | Past | Accepting new patients |
Locations
2100 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 212-8968
701 E Bay St
#1110
Charleston, SC 29403
Phone (843) 727-2000
2414 Bull St
#3183
Columbia, SC 29201
152 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-8871
164 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-4888
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Waccamaw Center for Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conway, SC
- NPI 1356397228
-
dba Lighthouse Behavioral Health Hospital
- Psychiatric Hospital
- Conway, SC
- NPI 1194826081
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba Lower Cape Fear LifeCare
- Community Based Hospice Care Agency
- Conway, SC
- NPI 1427053081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1356325435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2585",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319022585",
"telephone_number": "706-660-8505",
"fax_number": "706-660-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD FL 1",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-422-7899"
}
],
"practiceLocations": [
{
"address_1": "152 Waccamaw Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268901",
"country_code": "US",
"telephone_number": "843-347-8871",
"fax_number": "843-234-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CZEPOWICZ",
"first_name": "VIOLETTA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "16304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163049",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.