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OLGA VICTA MD
NPI 1205090933
Psychiatry & Neurology - Psychiatry in Conway, SC

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olga Victa Md NPPES

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

OLGA VICTA MD (NPI 1205090933) is an individual psychiatry provider in Conway, South Carolina, licensed in Michigan (4301092578) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205090933
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameOLGA VICTACredential: MD
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address7436 Catena LnMyrtle Beach, SC 29572-8031
Phone(843) 347-5060
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 11, 2008
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1205090933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301092578
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
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Other Identifiers 1

Medicaid327877SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olga Victa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062647522
PECOS Enrollment IDI20170330001002
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 29526 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

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 Olga Victa's NPI number?

The NPI number for Olga Victa is 1205090933. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Olga Victa located?

Olga Victa practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Olga Victa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Olga Victa enrolled in Medicare?

Yes. Olga Victa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Olga Victa was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.