Individual provider Active NPI

Betty Gattison, NP

  • Acute Care Nurse Practitioner
  • Florence, SC
National Provider Identifier
1013442268
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
20927 Issued in SC
Practice address
1100 E Cheves St
Florence, SC 29506-2708
Phone
(843) 669-6694
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 20927 SC Primary

Addresses

Primary practice location

1100 E Cheves St
Florence, SC 29506-2708

Mailing address

1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200424001473 SC Practitioner - Nurse Practitioner 0244660769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pee Dee Nephrology LLPGroup PAC ID 6507853629, 9 clinicians

Practice addresses (Care Compare)

1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pee Dee Nephrology LLP CurrentSince Mar 24, 2020 Accepting new patients
Advanced Nutrition Consultants Inc CurrentSince Mar 24, 2020 Accepting new patients

Locations

1100 E Cheves St
Florence, SC 29506
Phone (843) 669-6694

Interoperability endpoints

  • Direct secure messaging: bgattison24138@direct.acumenmd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1013442268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTISON",
        "first_name": "BETTY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "20927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.