1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Registered Nurse
  6. NPI Profile

KADEIDRE LA'TRELL GAYMON
NPI 1891460853
Registered Nurse - Critical Care Medicine in Columbia, SC

Active since August 11, 2021
6439 GARNERS FERRY RD, COLUMBIA, SC 29209(803) 920-6625 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kadeidre La'trell Gaymon NPPES

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

KADEIDRE LA'TRELL GAYMON (NPI 1891460853) is an individual critical care medicine provider in Columbia, South Carolina, licensed in South Carolina (249257) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1891460853
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameKADEIDRE LA'TRELL GAYMON
Location Address6439 GARNERS FERRY RDColumbia, SC 29209-1638
Mailing Address286 Liberty Ridge DrElgin, SC 29045-7905 · (803) 920-6625
Phone(803) 920-6625
Sole ProprietorNo
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1891460853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in SC · 249257
Also ListedRegistered NurseTaxonomy 163W00000X · License 249257 (SC)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 249257 (SC)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 249257 (SC)
6439 GARNERS FERRY RD, Columbia, SC 29209
Open in Google Maps ↗

Other Identifiers 1

OtherPVF908740801TN · Blue Cross Blue Shield

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
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (803) 776-4000
VALERIE REBECCA MCRAE FNP-C
Nurse Practitioner (Family)
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (803) 776-4000
DR. ELISABETH J PASZKIEWICZ MD
Urology
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (803) 776-4000
DR. FRANK PECHAL M.D.
Psychiatry & Neurology (Psychiatry)
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (706) 776-4000
MR. DOUGLAS GREGG HENRY RPH
Pharmacist
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (803) 776-4000
DR. JESSICA MARIE HENRY PHARMD
Pharmacist (Psychiatric)
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (814) 883-9026
RANDALL ANN WILSON AGACNP
Nurse Practitioner (Acute Care)
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (803) 776-4000
CYNTHIA LYNNE HARTMAN OTR/L, NP
Nurse Practitioner (Family)
6439 GARNERS FERRY RD
COLUMBIA, SC 29209
Richland County (803) 776-4000

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 Kadeidre Gaymon's NPI number?

The NPI number for Kadeidre Gaymon is 1891460853. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Kadeidre Gaymon located?

Kadeidre Gaymon practices at 6439 Garners Ferry Rd, Columbia, SC 29209. The listed phone number is (803) 920-6625.

What is Kadeidre Gaymon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Kadeidre Gaymon was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.