Active NPI
Anne Ngozi Whaley, APRN
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28169
- Practice address
- 3710 Landmark Dr Ste 408
Columbia, SC 29204-4034 - Phone
- (803) 799-1922
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28169 | SC | Primary |
| Home Health Agency | 251E00000X | 2014-47457-46453 | SC |
Addresses
Primary practice location
3710 Landmark Dr Ste 408
Columbia, SC 29204-4034
Mailing address
PO Box 530062
Atlanta, GA 30353-0062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NN1417 | Medicaid | SC |
Other names 1
- Mrs. Anne Ngozi Whaley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3710 Landmark Dr
Suite 408
Columbia, SC 29204-4034
Phone (843) 695-6071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-47457-46453 | SC | MD | Home Health Agency |
| 28169 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Past | Accepting new patients |
Locations
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
3710 Landmark Dr
Ste 408
Columbia, SC 29204
Phone (803) 219-4686
2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075
2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840
Interoperability endpoints
- anne.whaley@ppcp1.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1437712445
-
- Family Medicine Physician
- Summerville, SC
- NPI 1265690382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1710306915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530062",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303530062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 LANDMARK DR STE 408",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044034",
"telephone_number": "803-799-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "ANNE",
"middle_name": "NGOZI",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "28169",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": "2014-47457-46453",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NN1417",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "WHALEY",
"middle_name": "NGOZI",
"prefix": "MRS.",
"credential": "REGISTERED NURSE",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.