Individual provider Active NPI

Valencia Arthiena Patterson, ACNPC-AG

  • Gerontology Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1073043097
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
20679 Issued in SC
Practice address
129 N Washington St
Sumter, SC 29150-4949
Phone
(803) 774-9000
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 20679 SC Primary

Addresses

Primary practice location

129 N Washington St
Sumter, SC 29150-4949

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

35 Gorebridge Ct
Blythewood, SC 29016-7213
Phone (803) 577-3312

Other identifiers 1

IdentifierTypeStateIssuer
NP5025MedicaidSC

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
I20180326002795 SC Practitioner - Nurse Practitioner 1557623832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Apr 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Apogee Medical Group South Carolina CurrentSince Jan 1, 2022 Accepting new patients
Musc Community Physicians CurrentSince Oct 1, 2024 Accepting new patients
SC Hospital Medicine Physicians LLC CurrentSince Feb 1, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Apr 1, 2018 Accepting new patients
Musc Community Physicians CurrentSince Oct 1, 2024 Accepting new patients
Hospitalist Solution, PLLC Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

Interoperability endpoints

  • Direct secure messaging: vpatterson3040311@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: vpatterson389679@direct.musc.edu

Organizations & group practices 8

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1073043097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504949",
            "telephone_number": "803-774-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Gorebridge Ct",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "290167213",
            "country_code": "US",
            "telephone_number": "803-577-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "VALENCIA",
        "middle_name": "ARTHIENA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "20679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5025",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.