Individual provider Active NPI

Ann-Elizabeth Holt Platt, APRN

  • Gerontology Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1053299768
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
30879 Issued in SC
Practice address
215 Stork Way
Seneca, SC 29678-1039
Phone
(864) 800-0100
Fax
(864) 800-0101
NPI assigned
Aug 22, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 30879 SC Primary

Addresses

Primary practice location

215 Stork Way
Seneca, SC 29678-1039

Mailing address

206 Strawberry LN
Clemson, SC 29631-1363
Phone (864) 650-6851

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
I20251003001319 SC Practitioner - Nurse Practitioner 2466958814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atreus LLCGroup PAC ID 7315310976, 8 clinicians

Practice addresses (Care Compare)

103 Clair Dr
Suite F
Piedmont, SC 29673-6401
Phone (864) 800-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30879SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atreus LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

103 Clair Dr
Ste F
Piedmont, SC 29673
Phone (864) 284-6600

215 Stork Way
Seneca, SC 29678
Phone (864) 800-0100

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1053299768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 STRAWBERRY LN",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311363",
            "telephone_number": "864-650-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-800-0100",
            "fax_number": "864-800-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "ANN-ELIZABETH",
        "middle_name": "HOLT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "30879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.