NPIMap

Individual provider Active NPI

Ezra Mozelle Ash-Malachi, MD

  • Family Medicine Physician
  • Cayce, SC
National Provider Identifier
1477746469
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29969 Issued in SC
Practice address
905 State St
Cayce, SC 29033-4318
Phone
(803) 832-4383
NPI assigned
Aug 22, 2007
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29969 SC Primary

Addresses

Primary practice location

905 State St
Cayce, SC 29033-4318

Mailing address

PO Box 740013
Atlanta, GA 30374-0013
Phone (312) 733-9730

Other practice location 1

9023 Garners Ferry Rd
Hopkins, SC 29061-9687
Phone (803) 978-1848

Other identifiers 3

IdentifierTypeStateIssuer
GP1883OtherSCMEDICAID GROUP
299698MedicaidSC
GP2626OtherSCMEDICAID GROUP

Other names 1

  • Ezra Mozelle Ash Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000229 SC Practitioner - Family Practice 0547394306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of South Carolina LLCGroup PAC ID 3375959075, 31 clinicians

Practice addresses (Care Compare)

905 State St
Cayce, SC 29033-4318
Phone (803) 832-4383

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of South Carolina, LLC Family Medicine CurrentSince Mar 31, 2025 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Family Medicine CurrentSince Sep 26, 2013 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Sep 26, 2013 Accepting new patients
Nova Physician Group PLLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

905 State St
Cayce, SC 29033
Phone (803) 832-4383

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

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

9023 Garners Ferry Rd
Hopkins, SC 29061
Phone (803) 978-1848

500 N 12th St
West Columbia, SC 29169
Phone (803) 217-0415

Interoperability endpoints

  • Direct secure messaging: ezra.ash.1@10781.direct.athenahealth.com

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

Hospital & facility affiliations 8

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1477746469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740013",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 STATE ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334318",
            "telephone_number": "803-832-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9023 Garners Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "SC",
            "postal_code": "290619687",
            "country_code": "US",
            "telephone_number": "803-978-1848",
            "fax_number": "803-978-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASH-MALACHI",
        "first_name": "EZRA",
        "middle_name": "MOZELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GP1883",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299698",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GP2626",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EZRA",
            "last_name": "ASH",
            "middle_name": "MOZELLE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cayce, SC

Sources for this page

Verify at the official NPI Registry.