NPIMap

Individual provider Active NPI

Michael Gajewski, NP-C

  • Acute Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1629553755
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22255 Issued in SC
Practice address
6 Richland Medical Park Dr Ste 2100
Columbia, SC 29203-6864
Phone
(803) 434-2762
Fax
(803) 434-2713
NPI assigned
Sep 25, 2018
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22255 SC
Acute Care Nurse Practitioner 363LA2100X 22255 SC Primary

Addresses

Primary practice location

6 Richland Medical Park Dr Ste 2100
Columbia, SC 29203-6864

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800
Phone (803) 936-3300

Other identifiers 1

IdentifierTypeStateIssuer
NP5492MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgajewski88772@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101002204 SC Practitioner - Nurse Practitioner 5991058398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1830 Pondfield Rd
Suite A1
Newberry, SC 29108-9522
Phone (803) 434-2505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22255SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 12, 2024 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 12, 2024 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands Nurse Practitioner Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Lexington Medical Center Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

6 Richland Medical Park Dr
Ste 2100
Columbia, SC 29203
Phone (803) 434-2660

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

1830 Pondfield Rd
Ste A1
Newberry, SC 29108
Phone (803) 405-7140

146 E Hospital Dr
Ste 400
West Columbia, SC 29169
Phone (803) 936-3300

2728 Sunset Blvd
Ste 104
West Columbia, SC 29169
Phone (803) 791-2683

Interoperability endpoints

  • Direct secure messaging: mgajewski598754@direct.ghs.myhfn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1629553755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RICHLAND MEDICAL PARK DR STE 2100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036864",
            "telephone_number": "803-434-2762",
            "fax_number": "803-434-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 E Hospital Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-3300",
            "fax_number": "803-936-7735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "MICHAEL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22255",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "22255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5492",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgajewski88772@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 400",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.