Emily Randall Caldwell, NP
Individual provider Active NPI Nurse Practitioner · Spartanburg, SC
NPI 1033738323 · NPPES record last updated Apr 29, 2020
Key facts
- NPI
- 1033738323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 23786 (SC)
- Practice address
- 322 N Pine St
Spartanburg, SC 29302-1631 - Phone
- (864) 582-5099
- Fax
- (864) 327-1098
- NPI assigned
- Apr 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spartanburg Medical Center
Nephrology Associates of Spartanburg LLC
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193
322 N Pine St
Spartanburg, SC 29302-1631
Phone (864) 582-5099
Hospital & facility affiliations
- Spartanburg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20200521001320 | SC | Practitioner - Nurse Practitioner | 5092146381 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Medical Center | Current |
Accepting new patients | |
| Cherokee Medical Center | Current |
Accepting new patients | |
| Nephrology Associates of Spartanburg, LLC | Current |
Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Spartanburg Medical Center | Past | Accepting new patients |
Locations
840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300
2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
322 N Pine St
Spartanburg, SC 29302
Phone (864) 582-5099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23786 | SC | Yes |
Addresses
Primary practice location
322 N Pine St
Spartanburg, SC 29302-1631
Mailing address
1715 Timber Dr
Mooresboro, NC 28114-7810
Phone (828) 447-4312
Other providers in Spartanburg, SC
- Jayne L. Cagle
- Maisie Cahill
- Elizabeth S Cain
- Jamie M Calabrese
- Lisa Caldwell-Salters
- James Caldwell
- John Aikman Caldwell
- Kierra Anne Caldwell
- Jason Gregory Calhoun
- Pearletha Lynette Calhoun
All providers in Spartanburg, SC · 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 Apr 29, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.