Kathleen L. Antonetti, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28241 Issued in SC

Practice address

4500 8TH Division Rd
Columbia, SC 29207-5700

Phone

(803) 740-3584

NPI assigned

Jul 21, 2006

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lexington County Health Serv

  dba Lexington Weight Management Center

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1033266101
  NPD (past)
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Radiology Clinic/Center
  • Columbia, SC
  • NPI 1811922164
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1598786188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "address_2": "ATTN: MANAGED CARE DPT.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-936-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 8TH DIVISION RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-740-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONETTI",
        "first_name": "KATHLEEN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "28241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teandra Anthony
• Deborah H Antley, PT
• Erin P. Antley, PTA
• Natalia Nunez Antley, D.D.S.
• Lauren Anton, PA-C
• David Antonie
• Gil Corpuz Antonio Jr., P.T.
• Mylene Mercado Antonio, APRN
• Salomey Oppong Antwi, MD
• Chidi Eugene Anugom, MD

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.