Active NPI
Elizabeth Wagoner Knight, N.P.
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4446
- Practice address
- 4605 Monticello Rd
Columbia, SC 29203-4156 - Phone
- (803) 754-0151
- Fax
- (803) 691-1778
- NPI assigned
- Feb 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4446 | SC | Primary |
Addresses
Primary practice location
4605 Monticello Rd
Columbia, SC 29203-4156
Mailing address
4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 754-0151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1791 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1228 Harden St
Columbia, SC 29204-1800
4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 714-0266
4605 Monticello Rd B
Columbia, SC 29203-4156
Phone (803) 714-0266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4446 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center, Inc. | Current | Accepting new patients | |
| Eau Claire Cooperative Health Center ,Inc. | Current | Accepting new patients |
Locations
4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001
4605 Monticello Rd
Bldg A
Columbia, SC 29203
Phone (803) 252-7001
3041 Old Eastover Rd
Eastover, SC 29044
Phone (803) 353-8741
Interoperability endpoints
- elizabeth.knight.1@10781.direct.athenahealth.com
Organizations & group practices 2
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
-
dba Cooperative Health @ CAMH
- 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": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1861798845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 MONTICELLO RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292034156",
"telephone_number": "803-754-0151",
"fax_number": "803-691-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MONTICELLO RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292034156",
"telephone_number": "803-754-0151",
"fax_number": "803-691-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "ELIZABETH",
"middle_name": "WAGONER",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "4446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1791",
"state": "SC"
}
],
"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 6, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.