Individual provider Active NPI

Sandra Dickson, N.P.

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1568495802
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19618 Issued in SC
Practice address
130 Hwy 252
Columbia, SC 29261
Phone
(803) 231-2600
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19618 SC Primary

Addresses

Primary practice location

130 Hwy 252
Columbia, SC 29261

Mailing address

PO Box 485
Columbia, SC 29202-0485
Phone (803) 898-8405

Other identifiers 1

IdentifierTypeStateIssuer
NP0669MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000644 SC Practitioner - Nurse Practitioner 4284808734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1262SCMDAthletic Trainer
19618SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Anmed Health CurrentSince Apr 30, 2024 Accepting new patients
Anmed Health CurrentSince Apr 30, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 10, 2000 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Apr 30, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 10, 2000 Accepting new patients

Locations

2000 E Greenville St
Ste 2600
Anderson, SC 29621
Phone (864) 231-2773

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

Interoperability endpoints

  • Direct secure messaging: sdickson78452@direct.anmedhealth.net

Organizations & group practices 8

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1568495802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020485",
            "telephone_number": "803-898-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HWY 252",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29261",
            "telephone_number": "803-231-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "SANDRA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0669",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.