Active NPI
Regina Ann Koder
- Neuromusculoskeletal Medicine & OMM Physician
- Columbia, SC
National Provider Identifier
1619101151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 3428
- Practice address
- 3400 Forest Dr
Suite 2072
Columbia, SC 29204-4041 - Phone
- (803) 427-5403
- Fax
- (803) 438-8626
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 3428 | SC | Primary |
Addresses
Primary practice location
3400 Forest Dr
Suite 2072
Columbia, SC 29204-4041
Mailing address
401 Old Brass Dr
Columbia, SC 29229-6535
Phone (803) 427-5403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1619101151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 OLD BRASS DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292296535",
"telephone_number": "803-427-5403",
"fax_number": "803-438-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 FOREST DR",
"address_2": "SUITE 2072",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044041",
"telephone_number": "803-427-5403",
"fax_number": "803-438-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODER",
"first_name": "REGINA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "SC",
"license": "3428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.