Active NPI
Spencer Prematta, DO
- Psychiatry Physician
- Columbia, SC
National Provider Identifier
1770424186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- LL96759
- Practice address
- 1301 Taylor St
Columbia, SC 29201-2942 - Phone
- (803) 434-4300
- NPI assigned
- Apr 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LL96759 | SC | Primary |
Addresses
Primary practice location
1301 Taylor St
Columbia, SC 29201-2942
Mailing address
1301 Taylor St
Columbia, SC 29201-2942
Phone (803) 434-4300
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1770424186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 TAYLOR ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012942",
"telephone_number": "803-434-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 TAYLOR ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012942",
"telephone_number": "803-434-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREMATTA",
"first_name": "SPENCER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-02",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "LL96759",
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.