Individual provider Active NPI

Ada Stewart, MD

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1750333050
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22560 Issued in SC
Practice address
1520 Laurel St
Columbia, SC 29201-2623
Phone
(803) 799-8407
Fax
(803) 252-9070
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22560 SC Primary

Addresses

Primary practice location

1520 Laurel St
Columbia, SC 29201-2623

Mailing address

1520 Laurel St
Columbia, SC 29201-2623
Phone (803) 799-8407

Other identifiers 2

IdentifierTypeStateIssuer
FQC043MedicaidSC
FQC030MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000559 SC Practitioner - Family Practice 8426032335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 714-0266

4605 Monticello Rd B
Columbia, SC 29203-4156
Phone (803) 714-0266

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22560SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. Family Medicine CurrentSince Nov 14, 2012 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Nov 14, 2012 Accepting new patients

Locations

1520 Laurel St
Columbia, SC 29201
Phone (803) 256-3400

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

1228 Harden St
Ste C
Columbia, SC 29204
Phone (803) 748-1181

1136 Kincaid Bridge Rd
Winnsboro, SC 29180
Phone (803) 635-1052

1136 Kincaid Bridge Rd
#A
Winnsboro, SC 29180
Phone (803) 635-1052

Interoperability endpoints

  • Direct secure messaging: ada.stewart.1@10781.direct.athenahealth.com

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.

Hospital & facility affiliations 9

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1750333050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012623",
            "telephone_number": "803-799-8407",
            "fax_number": "803-252-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012623",
            "telephone_number": "803-799-8407",
            "fax_number": "803-252-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ADA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC043",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC030",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.