DR. KAHLIL AHMADI DEMONBREUN DNP, WHNP-BC, ANP-BC
NPI 1124036728
Nurse Practitioner - Women's Health in Columbia, SC

Q: What is Kahlil Demonbreun's NPI number?

The NPI number for Kahlil Demonbreun is 1124036728. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Kahlil Demonbreun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kahlil Demonbreun was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 03, 2006PECOS Enrolled

6439 GARNERS FERRY RD, COLUMBIA, SC 29209(803) 776-4000 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2023, Feb 3, 2017 (2 updates tracked since 2017).

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About Dr. Kahlil Ahmadi Demonbreun Dnp, Whnp-bc, Anp-bc NPPES

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

DR. KAHLIL AHMADI DEMONBREUN DNP, WHNP-BC, ANP-BC (NPI 1124036728) is an individual women's health provider in Columbia, South Carolina, licensed in South Carolina (APRN 2202) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124036728

Entity TypeIndividualMale

Primary Taxonomy363LW0102X

Provider Legal NameDR. KAHLIL AHMADI DEMONBREUNCredential: DNP, WHNP-BC, ANP-BC

Location Address6439 GARNERS FERRY RDColumbia, SC 29209-1638

Mailing Address6439 Garners Ferry RdColumbia, SC 29209-1638 · (803) 776-4000

Phone(803) 776-4000

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1124036728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in SC · APRN 2202

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN 2202 (SC)

6439 GARNERS FERRY RD, Columbia, SC 29209

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Other Identifiers 1

MedicaidNPO649SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kahlil Ahmadi Demonbreun Dnp, Whnp-bc, Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEXANDER CORBOY DR.

Pharmacist