Individual provider Active NPI

Nikki Racquel Smith, DNP,FNP-BC, PMHNP-BC

  • Primary Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1689939100
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
25556 Issued in SC
Practice address
10120 Two Notch Rd Ste 2-349
Columbia, SC 29223-4395
Phone
(803) 602-4904
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25556 SC
Primary Care Nurse Practitioner 363LP2300X 25556 SC Primary

Addresses

Primary practice location

10120 Two Notch Rd Ste 2-349
Columbia, SC 29223-4395

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2491

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
I20230621000155 SC Practitioner - Nurse Practitioner 8224263470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

40 Pinnacle Pkwy
Elgin, SC 29045-8390
Phone (803) 424-8020

4540 Trenholm Rd
Columbia, SC 29206-4462
Phone (803) 790-4700

Hospital & facility affiliations

  • Kershawhealth Hospital, Camden, SC, CCN 420048
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Nov 29, 2023 Accepting new patients
Thriving Minds Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Lexington Health Inc CurrentSince Feb 18, 2026 Accepting new patients
Lexington Health Inc CurrentSince Feb 18, 2026 Accepting new patients
Musc Community Physicians CurrentSince Nov 29, 2023 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Southern Medical Management, LLC PastSince Jun 2, 2024 Accepting new patients
Sweetgrass Pediatrics PastSince Jun 2, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

498 North St
Bamberg, SC 29003
Phone (803) 245-5144

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

5115 Forest Dr
Ste 100
Columbia, SC 29206
Phone (803) 790-4700

10120 Two Notch Rd
Ste 2349
Columbia, SC 29223

4540 Trenholm Rd
Columbia, SC 29206
Phone (803) 254-3501

40 Pinnacle Pkwy
Elgin, SC 29045
Phone (803) 424-5160

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: nsmith199101@direct.lexmed.com
  • Direct secure messaging: nsmith454115@direct.musc.edu

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1689939100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-791-2491",
            "fax_number": "803-794-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 TWO NOTCH RD STE 2-349",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234395",
            "telephone_number": "803-602-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NIKKI",
        "middle_name": "RACQUEL",
        "name_prefix": "Dr.",
        "credential": "DNP,FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "25556",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "25556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.