Allison Gonzalez, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

19740 Issued in SC

Practice address

1 Wellness Blvd Ste 109
Irmo, SC 29063-2872

Phone

(803) 749-1111

Fax

(803) 749-0050

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Carolina Internal Medicine Associates and Rehabilitation LLCGroup PAC ID 1759362072, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
• Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
• Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: agonzalez706141@direct.ghs.myhfn.org

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.

• South Carolina Internal Medicine Associates and Rehabilitation,L.L.C.

  • Internal Medicine Physician
  • Irmo, SC
  • NPI 1760483382
  Medicare reassignment Care Compare group

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

• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Columbia, SC
  • NPI 1619904968
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1306623137
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1811237985
  Care Compare affiliation

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1366813628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632832",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD STE 109",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632872",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Saint Andrews Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wellness Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7182 Woodrow St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632832",
            "country_code": "US",
            "telephone_number": "803-749-1111 x103",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALLISON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "19740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "APN19740",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison-portergonzalez-3@scinternal.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct message addrees",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7182 Woodrow St Ste 200",
            "city": "Irmo",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290632832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas M. Ginty, PHARMD
• Brandezea Glover
• Kwaterria Mandajh Glover
• Destiny Godfrey
• Golden Rule Medical Services, Inc
• Haileigh Goodman
• Nichole Goodwin
• John Gould III, DO
• Dreyanna Grandison
• Catina Grant, LPCA

• Adult Health Nurse Practitioner in Irmo, SC
• Providers in Irmo, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.

Verify at the official NPI Registry.