Nishanth Kodumuri, MD | |
8 Richland Medical Park Dr Ste 420, Columbia, SC 29203-8004 | |
(803) 434-8050 | |
(803) 933-3005 |
Full Name | Nishanth Kodumuri |
---|---|
Gender | Male |
Speciality | Neuropsychiatry |
Experience | 9 Years |
Location | 8 Richland Medical Park Dr Ste 420, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093268781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | LL39923 (South Carolina) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 39923 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Medical Group-midlands | 5991099707 | 881 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Nishanth Kodumuri, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 533-8603 | Nishanth Kodumuri, MD 8 Richland Medical Park Dr Ste 420, Columbia, SC 29203-8004 Ph: (803) 434-8050 |
Jason Lerand Gandy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 Medical Park, Psychiatry-general - Ste. 141, Columbia, SC 29203 Phone: 803-434-1433 Fax: 803-434-4062 | |
Dr. Jeffrey Roy Meyers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1333 Taylor St Ste 1c, Columbia, SC 29201 Phone: 803-254-6391 Fax: 803-799-0682 | |
Dr. Richard Lesesne Frierson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 Medical Park Rd, Suite 301, Columbia, SC 29203 Phone: 803-255-3400 Fax: 803-255-3420 | |
Dr. Frank Pechal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 706-776-4000 | |
Dr. Priyantha Herath, MD PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8 Richland Medical Park Dr, Ste 420, Columbia, SC 29203 Phone: 803-545-6050 | |
Dr. Joshua Taylor Thornhill Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Park Rd, Suite 103, Columbia, SC 29203 Phone: 803-434-4300 Fax: 803-434-4351 | |
Dr. Eric Rashad Williams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3555 Harden Street Ext, 15 Medical Park, Suite 141, Columbia, SC 29203 Phone: 803-434-4300 Fax: 803-434-4351 |