Active NPI
Crystal E. Scott, APRN
- Primary Care Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 18174
- Practice address
- 1614 Main Street Ste C
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2860 - Phone
- (803) 451-6133
- Fax
- (803) 726-2210
- NPI assigned
- Mar 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18174 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18174 | SC | |
| Primary Care Nurse Practitioner | 363LP2300X | 18174 | SC | Primary |
Addresses
Primary practice location
1614 Main Street Ste C
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2860
Mailing address
1624 Main Street
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2818
Phone (803) 726-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18174 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Eau Claire Cooperative Health Center ,Inc. | Current | Accepting new patients | |
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
| Eau Claire Cooperative Health Center, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966
Interoperability endpoints
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1346249430
-
- Family Nurse Practitioner
- Midvale, UT
- NPI 1619486396
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1588375653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1831431931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 MAIN STREET",
"address_2": "AGAPE SENIOR PRIMARY CARE, INC.",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012818",
"telephone_number": "803-726-2350",
"fax_number": "803-753-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 MAIN STREET STE C",
"address_2": "AGAPE SENIOR PRIMARY CARE, INC.",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012860",
"telephone_number": "803-451-6133",
"fax_number": "803-726-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CRYSTAL",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18174",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "18174",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "SC",
"license": "18174",
"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 Jul 7, 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.