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ALYSSA MARIAN DAVOLIO
NPI 1124692678
Pediatrics in Columbia, SC

Active since May 19, 2021PECOS Enrolled
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400, COLUMBIA, SC 29203(803) 434-6155(803) 434-6979 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2021, May 19, 2021 (2 updates tracked since 2021).

About Alyssa Marian Davolio NPPES

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

ALYSSA MARIAN DAVOLIO (NPI 1124692678) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (LL83563) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124692678
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALYSSA MARIAN DAVOLIO
Location AddressPRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400Columbia, SC 29203
Mailing AddressPrisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400Columbia, SC 29203 · (803) 434-6155 · Fax (803) 434-6979
Phone(803) 434-6155
Fax(803) 434-6979
Sole ProprietorNo
Enumeration DateMay 19, 2021
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1124692678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · LL83563
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 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)

Alyssa Marian Davolio 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 29203 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 4

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

NOAH DANIEL CHRISTIAN
Student in an Organized Health Care Education/Training Program
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155
MALLORY ENZOR MARSHALL
Pediatrics
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, SUITE 400
COLUMBIA, SC 29203
Richland County (893) 434-6155
KATLYN ROSE TAYLOR
Pediatrics
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, SUITE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155
KARLY ANNE DERWITZ DO
Pediatrics
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400
COLUMBIA, SC 29203
Richland County (803) 434-6155

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 Alyssa Davolio's NPI number?

The NPI number for Alyssa Davolio is 1124692678. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Alyssa Davolio located?

Alyssa Davolio practices at Prisma Health Children's Hospital Outpatient Center 14 Medical Park, Ste 400, Columbia, SC 29203. The listed phone number is (803) 434-6155.

What is Alyssa Davolio's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alyssa Davolio enrolled in Medicare?

Yes. Alyssa Davolio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Davolio was last updated on August 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.