Individual provider Active NPI

Aimee G Newsom, NP

  • Family Nurse Practitioner
  • Winnsboro, SC
National Provider Identifier
1043695570
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19631 Issued in SC
Practice address
880 W Moultrie St
Suite 200
Winnsboro, SC 29180-2411
Phone
(803) 635-6461
Fax
(803) 635-4200
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19631 SC Primary

Addresses

Primary practice location

880 W Moultrie St
Suite 200
Winnsboro, SC 29180-2411

Mailing address

PO Box 1218
Winnsboro, SC 29180-5218
Phone (803) 635-6461

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
I20150909002678 SC Practitioner - Nurse Practitioner 7618284530 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19631SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Medical Associates, LLC CurrentSince Jul 15, 2015 Accepting new patients
Physician'S Pain and Spine Center, LLC PastSince Jul 15, 2015 Accepting new patients

Locations

880 W Moultrie St
#200
Winnsboro, SC 29180
Phone (803) 635-6461

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCABAA/Endpoint/HCABAA
  • Direct secure messaging: aimee.newsom@fmasc.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1043695570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291805218",
            "telephone_number": "803-635-6461",
            "fax_number": "803-635-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W MOULTRIE ST",
            "address_2": "SUITE 200",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291802411",
            "telephone_number": "803-635-6461",
            "fax_number": "803-635-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "AIMEE",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

Verify at the official NPI Registry.