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
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

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

Addresses

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

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.

Enrollment records 1

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

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, LLCGroup PAC ID 4082662234, 77 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22059SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC CurrentSince Dec 1, 2020 Accepting new 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

Locations

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

2295 Henry Tecklenburg Dr
Charleston, SC 29414

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.