Individual provider Active NPI

Devon Elizabeth Driver, FNP-BC

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1821432899
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218402 Issued in GA
Practice address
220 Graces Way
Columbia, SC 29229-1613
Phone
(803) 736-4560
Fax
(803) 744-1217
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN218402 GA Primary

Addresses

Primary practice location

220 Graces Way
Columbia, SC 29229-1613

Mailing address

220 Graces Way
Columbia, SC 29229-1613
Phone (803) 736-4560

Other names 1

  • Devon Elizabeth Nelson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130930000039 SC Practitioner - Nurse Practitioner 3173757416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Dermatology GRPGroup PAC ID 3274557384, 27 clinicians

Practice addresses (Care Compare)

220 Graces Way
Columbia, SC 29229-1613
Phone (803) 771-7506

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
84.56
Promoting interoperability
74
Improvement activities
40
Cost
87.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Dermatology GRP CurrentSince Jan 1, 2024 Accepting new patients

Locations

1706 Saint Julian Pl
Columbia, SC 29204
Phone (803) 771-7506

220 Graces Way
Columbia, SC 29229
Phone (803) 736-4560

Organizations & group practices 1

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1821432899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GRACES WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292291613",
            "telephone_number": "803-736-4560",
            "fax_number": "803-744-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GRACES WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292291613",
            "telephone_number": "803-736-4560",
            "fax_number": "803-744-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "DEVON",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "NELSON",
            "middle_name": "ELIZABETH",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.