Active NPI
Sharon G Gulledge, APRN, BC
- Nurse Practitioner
- Bennettsville, SC
National Provider Identifier
1033170477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 795
- Practice address
- 1040 Marlboro Way
Suite 1
Bennettsville, SC 29512-2494 - Phone
- (843) 479-5890
- Fax
- (843) 479-3524
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 795 | SC | Primary |
Addresses
Primary practice location
1040 Marlboro Way
Suite 1
Bennettsville, SC 29512-2494
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 662-1502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00254936 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 795 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1033170477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-662-1502",
"fax_number": "843-678-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MARLBORO WAY",
"address_2": "SUITE 1",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295122494",
"telephone_number": "843-479-5890",
"fax_number": "843-479-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEDGE",
"first_name": "SHARON",
"middle_name": "G",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00254936",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.