Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allyson Derrick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053933267

Allyson Derrick is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2020, 6 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2 Medical Park Rd Ste 302
Columbia, SC 29203-6839
Phone: (803) 434-8820
Fax: (803) 254-0821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 — (803) 545-5500

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 24420 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053933267
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia