Individual provider Active NPI

Angelina Dow, APRN

  • Family Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1376137745
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25328 Issued in SC
Practice address
103 Sum Mor Dr
West Columbia, SC 29169-4828
Phone
(803) 254-4699
Fax
(803) 851-1235
NPI assigned
Feb 25, 2021
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 25328 SC Primary

Addresses

Primary practice location

103 Sum Mor Dr
West Columbia, SC 29169-4828

Mailing address

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adow@pivotalhealthandrehab.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211113000041 SC Practitioner - Nurse Practitioner 2961891999 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25328SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Injury and Rehab Inc CurrentSince Apr 12, 2022 Accepting new patients
Pivotal Health and Rehab LLC Family CurrentSince Oct 5, 2024 Accepting new patients
RBX Diagnostics LLC PastSince Jan 19, 2025 Accepting new patients

Locations

120 Highland Center Dr
Columbia, SC 29203
Phone (803) 254-4699

120 Highland Center Dr
Ste 100
Columbia, SC 29203
Phone (803) 728-6911

103 Sum Mor Dr
West Columbia, SC 29169
Phone (803) 218-9886

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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1376137745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUM MOR DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694828",
            "telephone_number": "803-254-4699",
            "fax_number": "803-851-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "ANGELINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adow@pivotalhealthandrehab.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "103 Sum Mor Dr",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.