Individual provider Active NPI

Meshia Q. Waleh, M.D.

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1447419569
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077 Issued in SC
Practice address
3209 Colonial Drive
University Specialty Clinics-Family & Preventive Medici
Columbia, SC 29203-6930
Phone
(803) 434-6113
Fax
(803) 434-7231
NPI assigned
Jun 4, 2008
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011-00922 NC
Family Medicine Physician 207Q00000X 35077 SC Primary

Addresses

Primary practice location

3209 Colonial Drive
University Specialty Clinics-Family & Preventive Medici
Columbia, SC 29203-6930

Mailing address

3209 Colonial Drive
University Specialty Clinics-Family & Preventive Medici
Columbia, SC 29203-6930
Phone (803) 434-6113

Other identifiers 2

IdentifierTypeStateIssuer
350774MedicaidSC
AA94632353OtherSCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000006 NC Practitioner - Family Practice 9032388343 Reassigns benefits to 1 organization
I20180720001611 IA Practitioner - Family PracticePractitioner - Emergency Medicine 9032388343 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare CurrentSince Nov 7, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 8, 2022 Accepting new patients
Floyd Valley Healthcare CurrentSince Nov 7, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 8, 2022 Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

100 E Dogwood Dr
Mebane, NC 27302
Phone (919) 563-2896

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: meshia.waleh@avera.sdhealthlink.net

Organizations & group practices 6

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1447419569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 COLONIAL DRIVE",
            "address_2": "UNIVERSITY SPECIALTY CLINICS-FAMILY & PREVENTIVE MEDICI",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036930",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 COLONIAL DRIVE",
            "address_2": "UNIVERSITY SPECIALTY CLINICS-FAMILY & PREVENTIVE MEDICI",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036930",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALEH",
        "first_name": "MESHIA",
        "middle_name": "Q.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-00922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350774",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA94632353",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.