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

Tequila Anderson, NP

Individual provider Primary Care Nurse Practitioner · NPI 1194553826

Tequila Anderson, NP is a Nurse Practitioner in West Columbia, South Carolina. Qualified in 2024, 2 years ago. Practices with Centerwell Senior Primary Care SC Jv PC, a 21-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1612 Airport Blvd
West Columbia, SC 29169-5016
Phone: (803) 380-6399
Fax: (877) 484-7187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 29092 (SC)

Record details

NPI number1194553826
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Centerwell Senior Primary Care Sc Jv Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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