Individual provider Active NPI

Diane Ngamia Awa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sumter, SC
National Provider Identifier
1356929384
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
773 Issued in SC
Practice address
6 Barnette Dr
Sumter, SC 29150-8004
Phone
(803) 773-7000
NPI assigned
Mar 31, 2021
Last updated
Jun 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5951001403 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 773 SC Primary

Addresses

Primary practice location

6 Barnette Dr
Sumter, SC 29150-8004

Mailing address

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 773-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904002433 SC Practitioner - Dermatology 6406396530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 256-6776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue524
Removal or shaving of skin growth273
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951001403MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Stride Pharmacy Past Accepting new patients

Locations

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • Direct secure messaging: dawa660836@direct.hfhs.org
  • Direct secure messaging: diane.awa.1@27654.direct.athenahealth.com

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

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1356929384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BARNETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-773-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BARNETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-773-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWA",
        "first_name": "DIANE",
        "middle_name": "NGAMIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951001403",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.