Active NPI
Farahnaz Nafisy, ACNP
- Acute Care Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 17723
- Practice address
- 3010 Farrow Rd Ste 300
Columbia, SC 29203-7606 - Phone
- (803) 434-1212
- NPI assigned
- Feb 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 17723 | SC | Primary |
Addresses
Primary practice location
3010 Farrow Rd Ste 300
Columbia, SC 29203-7606
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
2318 Sunset Blvd
West Columbia, SC 29169-4716
Phone (803) 454-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2770 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17723 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3010 Farrow Rd
Ste 300
Columbia, SC 29203
Phone (803) 434-1210
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1699015347",
"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": "3010 FARROW RD STE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292037606",
"telephone_number": "803-434-1212"
}
],
"practiceLocations": [
{
"address_1": "2318 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694716",
"country_code": "US",
"telephone_number": "803-454-3510",
"fax_number": "803-454-2368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAFISY",
"first_name": "FARAHNAZ",
"name_prefix": "Mrs.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-17",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "17723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2770",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.