NPIMap

Individual provider Active NPI

Karen Dolezal

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1649702267
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2792 Issued in SC
Practice address
300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212-1764
Phone
(803) 434-3800
Fax
(803) 744-2759
NPI assigned
Apr 2, 2017
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 2792 SC Primary

Addresses

Primary practice location

300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212-1764

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 695-6734

Other practice location 1

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203
Phone (803) 434-3800

Other identifiers 1

IdentifierTypeStateIssuer
3086PAMedicaidSC

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
I20171030000848 SC Practitioner - Physician Assistant 2769758176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506

1120 Roberts Branch Pkwy
Columbia, SC 29203-9144

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

300 Palmetto Health Pkwy
Columbia, SC 29212-1764

7 Richland Medical Park Dr
Columbia, SC 29203-6863

8 Richland Medical Park Dr
Columbia, SC 29203-8008
Phone (803) 256-6511

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-8006
Phone (803) 434-2762

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2792SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Apr 2, 2018 Accepting new patients
Prisma Health-Midlands CurrentSince Aug 28, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Apr 2, 2018 Accepting new patients

Locations

1120 Roberts Branch Pkwy
#300
Columbia, SC 29203

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

300 Palmetto Health Pkwy
Ste 400
Columbia, SC 29212

8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 434-2762

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

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

Interoperability endpoints

  • Direct secure messaging: kdolezal289156@direct.ghs.myhfn.org

Organizations & group practices 3

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 10

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1649702267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-695-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALMETTO HEALTH PKWY STE 400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121764",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Richland Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEZAL",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.