SUMMERTON PRIMARY CARE (NPI# 1740725100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740725100 |
| Entity Type | Organization |
| Organization Name | SUMMERTON PRIMARY CARE |
| Practice Address |
123 Main St Summerton SC 29148 |
| Mailing Address |
Po Box 69 123 Main St Summerton SC 29148-0069 |
| Practice Telephone | 8034888888 |
| Practice Fax Number | 8034880111 |
| Mailing Telephone | 8034888888 |
| Mailing Fax Number | 8034880111 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | DALE S BARWICK (ANP) |
| Authorized Official Telephone | 8034888888 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN174 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7622 | 05 |
| Street Address |
123 MAIN ST |
| City | SUMMERTON |
| State | SC |
| Zip Code | 29148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114052255 | Dale Scurry Barwick | Nurse Practitioner | 123 Main St, Po Box 69, Summerton, SC 29148 | 2007-02-22 |
| 1619954377 | David T Koon Jr. | Family Medicine | 123 Main St, Summerton, SC 29148 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225288517 | Clarendon Memorial Hosptial | Family Medicine | 1056 Felton Street, Summerton, SC 29148 | 2008-09-24 |
| 1043348923 | Linwood Ashwell Robinson Jr. | Dentist | 9 South Duke Street, Summerton, SC 29148 | 2007-03-01 |
| 1093707416 | Summerton Family Medicine LLC | Family Medicine | 107 Main Street, Summerton, SC 29148 | 2005-08-22 |
| 1467582270 | Summerton Drug Inc | Durable Medical Equipment & Medical Supplies | 115 Main Street, Summerton, SC 29148 | 2007-03-07 |
| 1477698447 | Ernest Eugene Phillips | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2007-02-20 |
| 1619012697 | Harold R Waynick Jr. | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2007-02-20 |
| 1306910997 | Ernest Eugene Phillips IIi | Pharmacist | 115 Main Street, Summerton, SC 29148 | 2006-11-17 |
| 1669519518 | Clarendon One | Local Education Agency (LEA) | 12 South Church Street, Summerton, SC 29148-0038 | 2007-01-31 |
| 1053506568 | Heart Star Medical Transportation | Ambulance | 5 South Church Street, Summerton, SC 29148-0143 | 2007-09-07 |
| 1588645709 | Clarendon Memorial Hospital | Skilled Nursing Facility | 1527 Urbana Rd, Summerton, SC 29148-1159 | 2005-11-07 |
| Find all providers in zip 29148 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114052255 | Dale Scurry Barwick | Nurse Practitioner | 123 Main St, Po Box 69, Summerton, SC 29148 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| Find all providers with the same taxonomy | ||||
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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.