Individual provider Active NPI

Ana Gosnell, NP

  • Acute Care Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1699369660
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
24454A Issued in SC
Practice address
101 Medical Cir Ste a
West Columbia, SC 29169-3650
Phone
(803) 244-9212
Fax
(803) 708-0865
NPI assigned
Feb 21, 2021
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 24454A SC Primary

Addresses

Primary practice location

101 Medical Cir Ste a
West Columbia, SC 29169-3650

Mailing address

PO Box 7227
West Columbia, SC 29171-7227
Phone (803) 224-9212

Other practice location 1

1333 Taylor St Ste 6F
Columbia, SC 29201-2953
Phone (803) 296-3273

Other practice location 2

3551 Kennerly Rd
Irmo, SC 29063-8510
Phone (803) 210-5410

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
I20211230001507 SC Practitioner - Nurse Practitioner 6608267612 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24454ASCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Medical Centers of Charleston Inc CurrentSince Jul 1, 2024 Accepting new patients
Impact Physician Group, Cardiology LLC CurrentSince Dec 15, 2025 Accepting new patients
Impact Physician Group, South Carolina LLC CurrentSince Dec 10, 2025 Accepting new patients
Restoration Medical Center of Greenville Inc Past Accepting new patients

Locations

3085 Taylor Rd
Cayce, SC 29033
Phone (803) 258-8240

20 Pinnacle Pkwy
Elgin, SC 29045
Phone (260) 407-8007

2679 Lake Park Dr
North Charleston, SC 29406
Phone (803) 218-9886

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1699369660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7227",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291717227",
            "telephone_number": "803-224-9212",
            "fax_number": "803-470-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL CIR STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693650",
            "telephone_number": "803-244-9212",
            "fax_number": "803-708-0865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Taylor St Ste 6F",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012953",
            "country_code": "US",
            "telephone_number": "803-296-3273",
            "fax_number": "803-296-7061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290638510",
            "country_code": "US",
            "telephone_number": "803-210-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "ANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "24454A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.