Individual provider Active NPI

Megan Rogers Dickerson

  • Pediatrics Physician
  • Columbia, SC
National Provider Identifier
1508561911
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
LL89720 Issued in SC
Practice address
9 Richland Medical Park Dr
Columbia, SC 29203-6859
Phone
(803) 434-7606
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LL89720 SC Primary
Pediatrics Physician 208000000X 2026-02404 NC

Addresses

Primary practice location

9 Richland Medical Park Dr
Columbia, SC 29203-6859

Mailing address

1735 City Center Blvd
Elizabeth City, NC 27909-3468
Phone (252) 338-2155

Other practice location 1

1735 City Center Blvd
Elizabeth City, NC 27909-3468
Phone (252) 338-2155

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
I20230906003967 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3274997408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL89720SCMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1508561911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 CITY CENTER BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093468",
            "telephone_number": "252-338-2155",
            "fax_number": "252-338-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036859",
            "telephone_number": "803-434-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 City Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093468",
            "country_code": "US",
            "telephone_number": "252-338-2155",
            "fax_number": "252-338-7704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MEGAN",
        "middle_name": "ROGERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL89720",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2026-02404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.