Individual provider Active NPI

Nicholas Whitmore, DO

  • Student in an Organized Health Care Education/Training Program
  • Columbia, SC
National Provider Identifier
1952051690
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
LL96840 Issued in SC
Practice address
1 Richland Medical Park Dr Ste 300
Columbia, SC 29203-6831
Phone
(803) 434-9175
NPI assigned
Mar 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LL96840 SC Primary

Addresses

Primary practice location

1 Richland Medical Park Dr Ste 300
Columbia, SC 29203-6831

Mailing address

1 Richland Medical Park Dr Ste 300
Columbia, SC 29203-6831
Phone (803) 434-9175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626003492 OH Practitioner - Internal Medicine 8022495845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 W Rahn Rd
Dayton, OH 45429-2219

Hospital & facility affiliations

  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.017766OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
South Dayton Acute Care Consultants, Inc Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

33 W Rahn Rd
#101
Dayton, OH 45429
Phone 9374338990102

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1952051690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK DR STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036831",
            "telephone_number": "803-434-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHLAND MEDICAL PARK DR STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036831",
            "telephone_number": "803-434-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "LL96840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.