Individual provider · Type 1 NPI

Ayesha Monay McCormick, AGNP-C

Gerontology Nurse Practitioner · Columbia, SC

NPI number 1215644489 Active

Practice location

2611 Forest Dr Ste 200
Columbia, SC 29204-2371

Fax (803) 779-3207

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPN.29792 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1215644489

Ayesha Monay McCormick, AGNP-C's National Provider Identifier is 1215644489, issued on Oct 27, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, SC. The record was last updated on Oct 27, 2026.