Active NPI
Ala Bianca Naomi Lucky, NP
- Nurse Practitioner
- Columbia, SC
National Provider Identifier
1902391469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21969
- Practice address
- 1718 Saint Julian PL
Columbia, SC 29204-2410 - Phone
- (803) 708-8392
- NPI assigned
- Jun 27, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21969 | SC | Primary |
Addresses
Primary practice location
1718 Saint Julian PL
Columbia, SC 29204-2410
Mailing address
753 S Sage Drop Rd
Blythewood, SC 29016-9265
Phone (803) 200-3748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5843 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2001 Laurel St
Fl 2
Columbia, SC 29204
Phone (803) 254-3278
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.
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1902391469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 S SAGE DROP RD",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169265",
"telephone_number": "803-200-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 SAINT JULIAN PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042410",
"telephone_number": "803-708-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKY",
"first_name": "ALA",
"middle_name": "BIANCA NAOMI",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "21969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5843",
"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 Jun 29, 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.