Individual provider Active NPI

Gail Regina Dillard-Washington, MD

  • General Practice Physician
  • Columbia, SC
National Provider Identifier
1447201249
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13574 Issued in SC
Practice address
4808 Colonial Dr
Columbia, SC 29203-4260
Phone
(803) 888-1106
Fax
(803) 602-0035
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13574 SC Primary

Addresses

Primary practice location

4808 Colonial Dr
Columbia, SC 29203-4260

Mailing address

PO Box 9828
Columbia, SC 29290-0828
Phone (803) 661-1004

Other identifiers 1

IdentifierTypeStateIssuer
135749MedicaidSC

Other names 1

  • Dr. Gail Dillard Washington Former name

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
I20060320000415 SC Practitioner - General Practice 7911914775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Pennsylvania State University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 Laurelhurst Ave
Columbia, SC 29210-3825

4808 Colonial Dr
Columbia, SC 29203-4260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince May 16, 2023 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince May 16, 2023 Accepting new patients
Midlands Neurology & Pain Assoc, P.a Past Accepting new patients
Caves Medical & Rehabilitation Center Inc Past Accepting new patients

Locations

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

1136 Kincaid Bridge Rd
#A
Winnsboro, SC 29180
Phone (803) 635-1052

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1447201249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9828",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292900828",
            "telephone_number": "803-661-1004",
            "fax_number": "803-779-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034260",
            "telephone_number": "803-888-1106",
            "fax_number": "803-602-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD-WASHINGTON",
        "first_name": "GAIL",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "13574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135749",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "WASHINGTON",
            "middle_name": "DILLARD",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.