Individual provider Active NPI

Nazish Zakaib, PA-C

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1639576127
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2228 Issued in SC
Practice address
701 Congaree Rd
Greenville, SC 29607-3519
Phone
(864) 458-7289
Fax
(864) 458-9462
NPI assigned
Nov 26, 2014
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2228 SC Primary

Addresses

Primary practice location

701 Congaree Rd
Greenville, SC 29607-3519

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

800 Pelham Rd
Greenville, SC 29615-3300
Phone (864) 752-3231

Other practice location 2

35 Ray E Talley Ct
Simpsonville, SC 29680-6772
Phone (864) 967-7028

Other identifiers 1

IdentifierTypeStateIssuer
2093PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150212001397 SC Practitioner - Physician Assistant 7012232119 Reassigns benefits to 2 organizations
I20260401002976 OH Practitioner - Physician Assistant 7012232119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

6167 Braided Mane Pass SW
Aiken, SC 29803-7839
Phone (803) 648-1464

793 E Butler Rd
Mauldin, SC 29662-3223
Phone (864) 720-1442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of South Carolina Medical PC CurrentSince Jul 9, 2021 Accepting new patients
The Metrohealth System Past Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

10 Parkway S
Greenville, SC 29615
Phone (864) 458-6933

Organizations & group practices 5

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": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1639576127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073519",
            "telephone_number": "864-458-7289",
            "fax_number": "864-458-9462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153300",
            "country_code": "US",
            "telephone_number": "864-752-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Ray E Talley Ct",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806772",
            "country_code": "US",
            "telephone_number": "864-967-7028",
            "fax_number": "864-228-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKAIB",
        "first_name": "NAZISH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2093PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.