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DR. MARY AUDREY ACKERMAN MD
NPI 1912988536
Internal Medicine - Hematology & Oncology in Columbia, SC

Active since November 10, 2005PECOS Enrolled
166 STONERIDGE DR, COLUMBIA, SC 29210(803) 461-3000(803) 461-4910 Get Directions Write a Review

NPPES record last updated: September 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Audrey Ackerman Md NPPES

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

DR. MARY AUDREY ACKERMAN MD (NPI 1912988536) is an individual hematology & oncology provider in Columbia, South Carolina, licensed in South Carolina (15864) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912988536
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MARY AUDREY ACKERMANCredential: MD
Location Address166 STONERIDGE DRColumbia, SC 29210-8239
Mailing AddressPo Box 2046West Columbia, SC 29171-2046 · (803) 461-3000 · Fax (803) 461-4910
Phone(803) 461-3000
Fax(803) 461-4910
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateSeptember 16, 2007
✔ NPI 1912988536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in SC · 15864
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
166 STONERIDGE DR, Columbia, SC 29210
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Other Identifiers 2

Medicare UPINF85509
Medicaid158643SC

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. Mary Audrey Ackerman Md 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 29210 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
$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.

SOUTH CAROLINA ONCOLOGY ASSOCIATES PA
Pharmacy (Community/Retail Pharmacy)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3709
MALSHUNDRIA PROPHET MD
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3049
DR. FRED J KUDRIK MD
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
MRS. LUENEATHER MICHELLE CAKLEY PHARM. D.
Pharmacist (Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3709
SAVANNAH ROOF PA
Physician Assistant (Medical)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
SHELLY K GOINS MSN, APRN FNP-C
Nurse Practitioner (Family)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
DR. LELAND J MCELVEEN MD
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
DR. EDWARD WILLIAM DUFFY III MD
Radiology (Radiation Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000

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 Mary Ackerman's NPI number?

The NPI number for Mary Ackerman is 1912988536. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Mary Ackerman located?

Mary Ackerman practices at 166 Stoneridge Dr, Columbia, SC 29210. The listed phone number is (803) 461-3000.

What is Mary Ackerman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mary Ackerman enrolled in Medicare?

Yes. Mary Ackerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ackerman was last updated on September 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.