Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ayesha Monay McCormick, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1215644489

Ayesha Monay McCormick, AGNP-C is a Nurse Practitioner in Columbia, South Carolina. Graduated from University of Alabama School of Medicine in 2024, 2 years ago. Practices with Palmetto Pain Management LLC, an 11-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Trained at
University of Alabama School of Medicine
Licensed in
SC
In the registry since
2022
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Practice location Address checks out

2611 Forest Dr Ste 200
Columbia, SC 29204-2371
Phone: (803) 779-3263
Fax: (803) 779-3207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APN.29792 (SC)

Record details

NPI number1215644489
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedOctober 27, 2022
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Palmetto Pain Management Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia