Doreen Mary Massey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24477 Issued in SC

Practice address

1510 Ribaut Rd
Port Royal, SC 29935-1403

Phone

(843) 770-0676

NPI assigned

May 12, 2006

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Clarke Medical Enterprises LLCGroup PAC ID 0547698680, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

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.

• Athens Clarke Medical Enterprises LLC

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1295370542
  Medicare reassignment Care Compare group NPD
• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  dba BJHCHS, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148
  Medicare reassignment NPD
• Georgia Emergency Medicine Specialists, PC

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1316064629
  Medicare reassignment NPD
• Beaufort Jasper Hampton Comprehensive Health Services, Inc

  dba Varnville Medical Center

  • Federally Qualified Health Center (FQHC)
  • Varnville, SC
  • NPI 1073318259
  NPD
• Athens Clarke Medical Enterprises LLC

  • Emergency Medicine Physician
  • Greensboro, GA
  • NPI 1538791579
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1063463537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351403",
            "telephone_number": "437-700-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351403",
            "telephone_number": "843-770-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "DOREEN",
        "middle_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN115838",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085386985A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Autism Foundation, Inc
• Lowcountry Nephrology Associates
• Jack Richard Lowe, RPH
• Lauren Danae Lynass
• Tad B Martin, PT
• Paul Mazzeo, M.D.
• Cara McKenna
• Gwendolyn Y McKinnon
• McKnight & Weaver, LLC
• Patrick Richard McKnight, D.M.D

• Family Nurse Practitioner in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.