Linda F. Dunovant, NP
Individual provider Active NPI Nurse Practitioner · Columbia, SC
NPI 1629314182 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1629314182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3404 (SC)
- Practice address
- 1801 Sunset Dr
Columbia, SC 29203-6803 - Phone
- (803) 434-4100
- NPI assigned
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Medical Group-Midlands
Practice addresses (Care Compare)
1801 Sunset Dr
Columbia, SC 29203-6803
Phone (803) 540-1000
Hospital & facility affiliations
- Prisma Health Richland Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200122002490 | SC | Practitioner - Nurse Practitioner | 9739514662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663
1801 Sunset Dr
Columbia, SC 29203
Phone (803) 434-4153
Interoperability endpoints
- ldunovant378805@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3404 | SC | Yes |
Addresses
Primary practice location
1801 Sunset Dr
Columbia, SC 29203-6803
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7033
Other practice location 1
14 Richland Medical Park Dr
suite 320
Columbia, SC 29203-6877
Phone (843) 364-0365
Other names
- Ms. Linda Irene Fowler
Other providers in Columbia, SC
- Carl Eric Dunn
- Colleen Dunn
- Dustin Lee Dunn
- Vanessa Denise Dunn
- Jacqueline Hartley Dunning
- Lisa Dupont
- Kayla Nate' Dupree
- Russell Creig Dupuis Jr.
- Coretta Durant
- Randy Edward Durbin
All providers in Columbia, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.