NPIMap

Individual provider Active NPI

Kerrera Charnay Tindal, APRN

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1538779178
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23920 Issued in SC
Practice address
111 Doctor Cir
Columbia, SC 29203-6502
Phone
(800) 491-0909
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 23920 SC Primary

Addresses

Primary practice location

111 Doctor Cir
Columbia, SC 29203-6502

Mailing address

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

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
I20200828000786 SC Practitioner - Nurse Practitioner 7214354778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Kidney and Hypertension Associates LLCGroup PAC ID 2365842754, 2 clinicians

Practice addresses (Care Compare)

2601 Laurel St
Suite 230
Columbia, SC 29204-2034
Phone (803) 722-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23920SCMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince May 18, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
True Home Care LLC CurrentSince Jun 29, 2025 Accepting new patients
Tennessee Health Partners LLC Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Palmetto Kidney and Hypertension Associates LLC CurrentSince Mar 25, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 18, 2024 Accepting new patients
MSK Group, PC Past Accepting new patients
MSK Group, PC Past Accepting new patients
MSK Group PC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

710 Rabon Rd
Ste 203
Columbia, SC 29203
Phone (803) 274-6166

2601 Laurel St
Ste 230
Columbia, SC 29204
Phone (803) 722-4001

7611 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 714-3300

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

2993 Sunset Blvd
West Columbia, SC 29169
Phone (314) 954-6282

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • Direct secure messaging: ktindal743841@direct.ghs.myhfn.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEJBAA

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1538779178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDAL",
        "first_name": "KERRERA",
        "middle_name": "CHARNAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.