ENVISION WELLNESS MEDICAL GROUP LLC
NPI 1043832157
Psychiatry & Neurology - Child & Adolescent Psychiatry in Columbia, SC
About Envision Wellness Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENVISION WELLNESS MEDICAL GROUP LLC (NPI 1043832157) is a healthcare organization registered as a child & adolescent psychiatry in Columbia, South Carolina and active in the NPI registry since May 2020. The organization lists Ayanna Swinton Jamison, Dr/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Envision Wellness Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Envision Wellness Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Envision Wellness Medical Group LLC's NPI number?
The NPI number for Envision Wellness Medical Group LLC is 1043832157. It was assigned to this organization in the NPPES registry on May 12, 2020.
Where is Envision Wellness Medical Group LLC located?
Envision Wellness Medical Group LLC is located at 4100 N Main St Ste 101, Columbia, SC 29203. The listed phone number is (803) 256-0101.
What is Envision Wellness Medical Group LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Envision Wellness Medical Group LLC enrolled in Medicare?
Yes. Envision Wellness Medical Group LLC is registered in the Medicare PECOS enrollment system.
When is Envision Wellness Medical Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Envision Wellness Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Envision Wellness Medical Group LLC, in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Envision Wellness Medical Group LLC accept?
Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Envision Wellness Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Envision Wellness Medical Group LLC was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Envision Wellness Medical Group Llc · NPI 1043832157
Child & Adolescent Psychiatry organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since May 12, 2020.
## Identity
- **NPI:** 1043832157 (Entity type: Organization)
- **Enumerated:** May 12, 2020
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **Organization subpart:** No
- **Authorized official:** Ayanna Jamison, DR/OWNER
## Practice location
- **Address:** 4100 N MAIN ST STE 101, Columbia, SC 29203-5800
- **Phone:** (803) 256-0101 · **Fax:** (800) 854-3497
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Psychiatry (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1043832157) · Data from the CMS NPPES public registry.