WHITNEY BROOKE TERRY (NPI# 1023477536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023477536 |
| Entity Type | Individual |
| Full Name | WHITNEY BROOKE TERRY |
| Credential | PA |
| Practice Address |
391 Serpentine Dr Ste 250 Spartanburg SC 29303 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645606717 |
| Practice Fax Number | 8645607105 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TL3012 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2955 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3675PA | 05 | |
| TN | BCBS OF TN | 5542034 | 01 |
| TN | Q020109 | 05 | |
| SC | MEDICARE PIN | SCD2697628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891099891 | Whitney Alyssa Terry | Occupational Therapy Assistant | 660 E Iowa Ave, Onawa, IA 51040-8662 | 2011-01-05 |
| 1609359173 | Whitney Terry | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2018-09-11 |
| Street Address |
391 SERPENTINE DR STE 250 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| 1710222021 | Brian D. Ray Dmd | Dentist | 1256 Boiling Springs Road, Spartanburg, SC 29303 | 2012-11-28 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789225 | Katherine Anderson Andrews | Physician Assistant | 760 Glenridge Rd, Spartanburg, SC 29301-5308 | 2018-11-18 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1730415100 | Amanda M Elder | Physician Assistant | 100 E Wood St Ste 401, Spartanburg, SC 29303-3049 | 2009-10-20 |
| 1275688772 | Cecilia S. Cannon | Physician Assistant | 1762 E Main St, Spartanburg, SC 29307-2231 | 2007-01-24 |
| 1255372637 | Carlee Dee Bright | Physician Assistant | 1650 Skylyn Dr Ste 210, Spartanburg, SC 29307-1069 | 2006-06-09 |
| 1750362182 | Christel Ann Schweizer | Physician Assistant | 1776 Skylyn Dr, Spartanburg, SC 29307-1045 | 2005-11-11 |
| 1619508637 | Caitlin Elizabeth Mcgougan | Physician Assistant | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-01-29 |
| 1255970398 | Alissa Reddy | Physician Assistant | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2020-01-06 |
| 1881233922 | Jordan Garvey | Physician Assistant | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2020-01-06 |
| 1568005023 | Nicole Leanne Owens | Physician Assistant | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2019-10-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.