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NOAH MINA
NPI 1073363388
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since March 27, 2024PECOS Enrolled
14 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203(803) 434-3790 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Noah Mina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOAH MINA (NPI 1073363388) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1073363388
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOAH MINA
Location Address14 RICHLAND MEDICAL PARK DRColumbia, SC 29203-6877
Mailing Address14 Richland Medical Park DrColumbia, SC 29203-6877
Phone(803) 434-3790
Sole ProprietorYes
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2024
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1073363388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14 RICHLAND MEDICAL PARK DR, Columbia, SC 29203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah Mina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749716561
PECOS Enrollment IDI20260529000303
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SILAS WENDELL HOLMES II M.D.
Orthopaedic Surgery (Sports Medicine)
14 RICHLAND MEDICAL PARK DR, SUITE 200
COLUMBIA, SC 29203
Richland County (803) 296-9200
KEVIN MANLEY DO
Pediatrics
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-6155
AMANDA DAWN GOINS D.O.
Internal Medicine
14 RICHLAND MEDICAL PARK DR, SUITE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771
DR. KIM J. CHILLAG MD
Orthopaedic Surgery
14 RICHLAND MEDICAL PARK DR, SUITE 200
COLUMBIA, SC 29203
Richland County (803) 296-9200
VALERIE MALVERN-BRANDT SHAH PA
Physician Assistant (Surgical)
14 RICHLAND MEDICAL PARK DR, SUITE 200
COLUMBIA, SC 29203
Richland County (803) 296-9200
DR. BRADLEY P. PRESNAL M.D.
Orthopaedic Surgery
14 RICHLAND MEDICAL PARK DR, SUITE 200
COLUMBIA, SC 29203
Richland County (803) 296-9200
SUNNA KUREISHY D.O.
Pediatrics
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-6155
GEORGIA NICOLE GUEST PHARMD
Pharmacist
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-6482

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 Noah Mina's NPI number?

The NPI number for Noah Mina is 1073363388. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Noah Mina located?

Noah Mina practices at 14 Richland Medical Park Dr, Columbia, SC 29203. The listed phone number is (803) 434-3790.

What is Noah Mina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Noah Mina enrolled in Medicare?

Yes. Noah Mina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noah Mina was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.