Individual provider Active NPI

Ishmeal Major, M.D.

  • Child & Adolescent Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1609821206
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
22550 Issued in SC
Practice address
1825 Saint Julian PL
F1D-E
Columbia, SC 29204-2424
Phone
(803) 254-1210
Fax
(803) 254-4510
NPI assigned
May 23, 2006
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22550 SC
Psychiatry Physician 2084P0800X ME94659 FL
Child & Adolescent Psychiatry Physician 2084P0804X 22550 SC Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME94659 FL

Addresses

Primary practice location

1825 Saint Julian PL
F1D-E
Columbia, SC 29204-2424

Mailing address

1825 Saint Julian PL
F1D-E
Columbia, SC 29204-2424
Phone (803) 254-1210

Other identifiers 2

IdentifierTypeStateIssuer
225508MedicaidSC
274382500MedicaidFL

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
I20050126000770 SC Practitioner - Psychiatry 7416907597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1050 Ribaut Rd
Beaufort, SC 29902-5400
Phone (843) 524-8899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22550SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 5, 2024 Accepting new patients
Upstate Center for Addiction Treatment.,LLC CurrentSince Jun 5, 2023 Accepting new patients
Chestnut Hill Mental Health Center, Inc CurrentSince Oct 17, 2015 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 5, 2024 Accepting new patients
Chestnut Hill Mental Health Center, Inc. Psychiatry CurrentSince Oct 17, 2015 Accepting new patients
Ishmeal Major MD LLC Psychiatry PastSince Mar 14, 2007 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

1050 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-3378

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

2099 S Pine St
Ste F
Spartanburg, SC 29302
Phone (864) 586-1640

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1609821206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SAINT JULIAN PL",
            "address_2": "F1D-E",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042424",
            "telephone_number": "803-254-1210",
            "fax_number": "803-254-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SAINT JULIAN PL",
            "address_2": "F1D-E",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042424",
            "telephone_number": "803-254-1210",
            "fax_number": "803-254-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJOR",
        "first_name": "ISHMEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "22550",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME94659",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "22550",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME94659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225508",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274382500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.