NPIMap

Individual provider Active NPI

Catherine Nicole Allgrim, ACNP

  • Acute Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1669808382
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18496 Issued in SC
Practice address
8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006
Phone
(803) 434-3800
Fax
(803) 744-2759
NPI assigned
Sep 26, 2013
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 18496 SC Primary

Addresses

Primary practice location

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

2001 Laurel St
Columbia, SC 29204-1018
Phone (803) 254-3278

Other practice location 2

Taylor at Marion
Columbia, SC 29220-0001
Phone (803) 296-5579

Other identifiers 1

IdentifierTypeStateIssuer
NP3090MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address callgrim399047@direct.ghs.myhfn.org Direct

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
I20150306001856 SC Practitioner - Nurse Practitioner 3577889617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
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)

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-8006
Phone (803) 434-3800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Acute Care CurrentSince Nov 26, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 26, 2016 Accepting new patients
Prisma Health-Midlands Past Accepting new patients

Locations

1333 Taylor St
Ste 6F
Columbia, SC 29201
Phone (803) 296-3273

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

3 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 296-2726

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

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Interoperability endpoints

  • Direct secure messaging: callgrim399047@direct.ghs.myhfn.org

Organizations & group practices 4

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 8

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1669808382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038006",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292041018",
            "country_code": "US",
            "telephone_number": "803-254-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Taylor at Marion",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292200001",
            "country_code": "US",
            "telephone_number": "803-296-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLGRIM",
        "first_name": "CATHERINE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "18496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3090",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "callgrim399047@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "callgrim399047@direct.ghs.myhfn.org",
            "address_1": "8 Richland Medical Park Dr Ste 100",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292038006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.