NPIMap

Individual provider Active NPI

Anna L Bouknight, MD

  • Otolaryngology Physician
  • Columbia, SC
National Provider Identifier
1821025529
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22059 Issued in SC
Practice address
2801 Devine St Ste 101
Columbia, SC 29205-2511
Phone
(803) 256-7076
Fax
(803) 256-0961
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston ENT Associates, LLC 77 clinicians

Practice addresses (Care Compare)

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Merit-based Incentive Payment System (MIPS)

Final score
92.33 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120117000233 SC Practitioner - Otolaryngology 5496810046 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC Otolaryngology CurrentSince Dec 1, 2020 Accepting new patients
Centa Medical Group PA Otolaryngology CurrentSince Jul 25, 1994 Accepting new patients
Charleston ENT Associates, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

2295 Henry Tecklenburg Dr
Charleston, SC 29414

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

2801 Devine St
Ste 101
Columbia, SC 29205
Phone (803) 256-7076

157 Corley Mill Rd
Lexington, SC 29072
Phone (803) 256-2483

Interoperability endpoints

  • Direct secure messaging: anna.bouknightmd.p1@direct.entap.nextgenshare.com
  • Direct secure messaging: abouknight@penat-sc.direct.office.nextgen.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 22059 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

2801 Devine St Ste 101
Columbia, SC 29205-2511

Mailing address

2801 Devine St Ste 101
Columbia, SC 29205-2511
Phone (803) 256-7076

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1647OtherSCMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2018.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1821025529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DEVINE ST STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052511",
            "telephone_number": "803-256-7076",
            "fax_number": "803-256-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEVINE ST STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052511",
            "telephone_number": "803-256-7076",
            "fax_number": "803-256-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUKNIGHT",
        "first_name": "ANNA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "22059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1647",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.