Individual provider Active NPI

Matthew English Gaskins, MD

  • Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1669784674
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD32636 Issued in SC
Practice address
4500 Fort Jackson Blvd Ste 270
Columbia, SC 29209-1119
Phone
(803) 764-3555
Fax
(803) 764-4418
NPI assigned
Jul 7, 2010
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X MD32636 SC
Psychiatry Physician 2084P0800X MD32636 SC Primary

Addresses

Primary practice location

4500 Fort Jackson Blvd Ste 270
Columbia, SC 29209-1119

Mailing address

14 Monckton Blvd Ste 100a
Columbia, SC 29206-4708
Phone (803) 764-3555

Other practice location 1

1 Richland Medical Park Dr Ste 420
Columbia, SC 29203-6833
Phone (803) 545-5350

Other identifiers 1

IdentifierTypeStateIssuer
326365MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728005940 SC Practitioner - Psychiatry 2961716485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32636SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Psychiatry Consultants, LLC Forensic Psychiatry CurrentSince Jan 21, 2024 Accepting new patients

Locations

14 Monckton Blvd
Ste 100A
Columbia, SC 29206

4500 Fort Jackson Blvd
Ste 270
Columbia, SC 29209
Phone (803) 764-3555

Organizations & group practices 1

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": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1669784674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONCKTON BLVD STE 100A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064708",
            "telephone_number": "803-764-3555",
            "fax_number": "803-765-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORT JACKSON BLVD STE 270",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091119",
            "telephone_number": "803-764-3555",
            "fax_number": "803-764-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richland Medical Park Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036833",
            "country_code": "US",
            "telephone_number": "803-545-5350",
            "fax_number": "803-545-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASKINS",
        "first_name": "MATTHEW",
        "middle_name": "ENGLISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "SC",
            "license": "MD32636",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD32636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326365",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.