Active NPI
Margo Caldwell Brandon
- Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5019748
- Practice address
- 1601 Greene St
Columbia, SC 29208-4001 - Phone
- (803) 777-7412
- NPI assigned
- Oct 2, 2023
- 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 | 5019748 | NC | Primary |
Addresses
Primary practice location
1601 Greene St
Columbia, SC 29208-4001
Mailing address
1601 Greene St
Columbia, SC 29208-4001
Phone (803) 777-7412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247
212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Wholehealth, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus Value Care, LLC | Current | Accepting new patients | |
| Eventus WH PLLC Care, LLC | Current | Accepting new patients | |
| Eventus Wholehealth Aco LLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus WH Southeast, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217
212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1487494811
Nurse Practitioner
-
- Family Medicine Physician
- Concord, NC
- NPI 1013680503
-
- Geriatric Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1023796307
Nurse Practitioner
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NC, Nurse Practitioner
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1639990658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1932989464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 GREENE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292084001",
"telephone_number": "803-777-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GREENE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292084001",
"telephone_number": "803-777-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "MARGO",
"middle_name": "CALDWELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019748",
"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 Mar 20, 2024; 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.