Individual provider Active NPI

Debra Johnson Prosser, N.P.

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1659393890
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2194 Issued in SC
Practice address
320 Harbison Blvd
Suite 230
Columbia, SC 29212-2225
Phone
(803) 732-8370
NPI assigned
Jul 24, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2194 SC Primary

Addresses

Primary practice location

320 Harbison Blvd
Suite 230
Columbia, SC 29212-2225

Mailing address

320 Harbison Blvd
Suite 230
Columbia, SC 29212-2225
Phone (803) 732-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000607 SC Practitioner - Nurse Practitioner 1557386505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2194SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Dec 9, 2021 Accepting new patients
Musc Community Physicians CurrentSince Dec 9, 2021 Accepting new patients
Dutch Fork Family Practice Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Cardiovascular Care Group, PA Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

1810 US Highway 321 Byp S
Winnsboro, SC 29180
Phone (803) 256-5600

Interoperability endpoints

  • Direct secure messaging: debra.prosser.1@14940.direct.athenahealth.com
  • Direct secure messaging: dprosser380616@direct.musc.edu

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1659393890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HARBISON BLVD",
            "address_2": "SUITE 230",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122225",
            "telephone_number": "803-732-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HARBISON BLVD",
            "address_2": "SUITE 230",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122225",
            "telephone_number": "803-732-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "DEBRA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.