MYRA A GANTT (NPI# 1750658449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750658449 |
| Entity Type | Individual |
| Full Name | MYRA A GANTT |
| Credential | RN |
| Practice Address |
1135 Carter St Columbia SC 29204-2811 |
| Mailing Address |
600 Antioch Pl Columbia SC 29209-5504 |
| Practice Telephone | 8037861183 |
| Practice Fax Number | 8037546051 |
| Mailing Telephone | 8037768544 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
74253 | SC | Nursing Service Providers |
| Street Address |
1135 CARTER ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653851 | Lawrence Guy Haynes | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2006-10-16 |
| 1659739019 | Evelyn Sharnise Brown | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2016-02-01 |
| 1083094098 | Shaina Mayekar | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2015-06-04 |
| 1245648252 | Shayla Evans | Counselor | 1135 Carter St, Columbia, SC 29204-2811 | 2014-07-23 |
| 1033527999 | Shola Adebusuyi | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2014-07-23 |
| 1043624976 | Sherri Covington | Case Manager/Care Coordinator | 1135 Carter St, Columbia, SC 29204-2811 | 2014-06-18 |
| 1073947131 | Shekeena Lorraine Nash | Student in an Organized Health Care Education/Training Program | 1135 Carter St, Columbia, SC 29204-2811 | 2013-08-26 |
| 1689007387 | Elizabeth Rose Dugan | Student in an Organized Health Care Education/Training Program | 1135 Carter St, Columbia, SC 29204-2811 | 2013-08-16 |
| 1508208125 | Daniel Zeb Deweese | Counselor | 1135 Carter St, Columbia, SC 29204-2811 | 2013-07-24 |
| 1225376528 | Ashley Denise Harp | Social Worker | 1135 Carter St, Columbia, SC 29204-2811 | 2013-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851870414 | Soledad Velina | Registered Nurse | 810 Dutch Square Blvd Ste 116, Columbia, SC 29210-7318 | 2018-08-13 |
| 1821243643 | Terri-lynn Lashai Mcdonald | Registered Nurse | 10 Richland Medical Park, Suite B, Columbia, SC 29203 | 2008-11-20 |
| 1609392893 | Letressa Antoinette Flemming | Registered Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2017-08-18 |
| 1205264454 | Selina R. Hunt Mckinney | Registered Nurse | 1410 Blanding St Ste 102, Columbia, SC 29201-2967 | 2013-10-25 |
| 1134486871 | Betty Jean Armel | Registered Nurse | 1800 Colonial Dr, Cottages B & C, Columbia, SC 29203-6827 | 2012-04-19 |
| 1376824474 | Sandra Crow | Registered Nurse | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2011-09-01 |
| 1740437565 | Ray Artis Jones | Registered Nurse | 6439 Garners Ferry Road, Columbia, SC 29209 | 2008-08-22 |
| 1881867117 | Dorothy A Campbell | Registered Nurse | 1850 Pineview Dr, Columbia, SC 29209-5085 | 2008-04-08 |
| 1417136987 | Nora Darlene Murray | Registered Nurse | 1800 Colonial Dr, Dbt, Columbia, SC 29203-6827 | 2007-10-31 |
| 1477608883 | Joyce M Kistler | Registered Nurse | 1135 Carter St, Columbia, SC 29204-2811 | 2007-01-24 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.