Individual provider Active NPI

Rosemary Davis-Gordon, CNM

  • Advanced Practice Midwife
  • Columbia, SC
National Provider Identifier
1902865280
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
298 Issued in SC
Practice address
9 Richland Medical Park Dr Ste 620
Columbia, SC 29203-6845
Phone
(803) 779-6776
Fax
(803) 779-7346
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X APN46118 SC
Advanced Practice Midwife 367A00000X 298 SC Primary

Addresses

Primary practice location

9 Richland Medical Park Dr Ste 620
Columbia, SC 29203-6845

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other practice location 1

12 W South St
Manning, SC 29102-2925
Phone (803) 433-4321

Other identifiers 1

IdentifierTypeStateIssuer
MW0088MedicaidSC

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000140 SC Practitioner - Certified Nurse Midwife (CNM) 6204898430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

9 Richland Medical Park Dr
Suite 620
Columbia, SC 29203-6845
Phone (803) 779-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN46118SCMDMidwife
298SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc Current Accepting new patients
Hopehealth Inc CurrentSince Feb 15, 2017 Accepting new patients
Hopehealth, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince May 22, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince May 22, 2023 Accepting new patients

Locations

9 Richland Medical Park Dr
Ste 620
Columbia, SC 29203
Phone (803) 779-6776

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

12 W South St
Manning, SC 29102
Phone (803) 433-4124

Interoperability endpoints

  • Direct secure messaging: rdavisgordon649412@direct.ghs.myhfn.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1902865280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR STE 620",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036845",
            "telephone_number": "803-779-6776",
            "fax_number": "803-779-7346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W South St",
            "address_purpose": "LOCATION",
            "city": "Manning",
            "state": "SC",
            "postal_code": "291022925",
            "country_code": "US",
            "telephone_number": "803-433-4321",
            "fax_number": "803-433-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS-GORDON",
        "first_name": "ROSEMARY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "APN46118",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MW0088",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.