Individual provider Active NPI

Natalie Warrum, OD

  • Optometrist
  • Columbia, SC
National Provider Identifier
1720656010
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2277 Issued in SC
Practice address
1 Richland Medical Park Dr Ste 210
Columbia, SC 29203-6831
Phone
(803) 434-2020
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2277 SC Primary

Addresses

Primary practice location

1 Richland Medical Park Dr Ste 210
Columbia, SC 29203-6831

Mailing address

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

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730002719 SC Practitioner - Optometry 0547663312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1 Richland Medical Park Dr
Suite 210
Columbia, SC 29203-6831
Phone (803) 434-6095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2277SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Optometrist CurrentSince Jul 12, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 12, 2021 Accepting new patients

Locations

1 Richland Medical Park Dr
Ste 210
Columbia, SC 29203
Phone (803) 434-2020

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

4 Medical Park Rd
Columbia, SC 29203
Phone (803) 434-2020

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: nwarrum512118@direct.ghs.myhfn.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1720656010",
    "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": "1 RICHLAND MEDICAL PARK DR STE 210",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036831",
            "telephone_number": "803-434-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRUM",
        "first_name": "NATALIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.