Gyetri Mitchell, MSN, FNP
Individual provider Active NPI Family Nurse Practitioner · Hartsville, SC
NPI 1023202124 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1023202124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3218 (SC)
- Practice address
- 1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710 - Phone
- (843) 339-4600
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080822000038 | SC | Practitioner - Nurse Practitioner | 8921173162 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Nurse Practitioner | Current |
Accepting new patients |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Alliance Healthcare PC | Past | Accepting new patients | |
| Pee Dee Emergency Physicians | Past | Accepting new patients |
Locations
957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245
1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3218 | SC | Yes |
Addresses
Primary practice location
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Mailing address
957 Cheraw St
Bennettsville, SC 29512-2420
Phone (910) 291-7160
Other providers in Hartsville, SC
- Sam Merritts
- Carolyn Paige Miller
- Noreen L Mills
- Thomas Vanco Mincheff
- Edwin Kyle Mitchell
- Tiffany Coward Mixon
- Aseanda Leane Moody
- Kelley Marie Moody
- Casey Miller Moore
- Delores Moore
All providers in Hartsville, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.