Individual provider Active NPI

Roquawna Cunningham Catoe

  • Prosthetic/Orthotic Supplier
  • Lancaster, SC
National Provider Identifier
1043995871
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
SM8GLC55R Issued in SC
Practice address
1749 Great Falls Rd
Lancaster, SC 29720-0234
Phone
(803) 577-3671
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X SM8GLC55R SC Primary

Addresses

Primary practice location

1749 Great Falls Rd
Lancaster, SC 29720-0234

Mailing address

1646 Highway 160 W Ste 105
Fort Mill, SC 29708-8010
Phone (803) 577-3671

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SM8GLC55RSCMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Perfert Choice Medical Wigs Prosthetic/Orthotic Supplier CurrentSince Jun 25, 2023 Accepting new patients

Locations

1646 Highway 160 W
Ste 105
Fort Mill, SC 29708

1749 Great Falls Rd
Lancaster, SC 29720
Phone (803) 577-3671

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1043995871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 HIGHWAY 160 W STE 105",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088010",
            "telephone_number": "803-577-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 GREAT FALLS RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200234",
            "telephone_number": "803-577-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM CATOE",
        "first_name": "ROQUAWNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "SM8GLC55R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.