Whitley Weatherford
Individual provider Active NPI Family Nurse Practitioner · Scranton, SC
NPI 1073073532 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1073073532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22724 (SC)
- Practice address
- 288 Anderson Bridge Rd
Scranton, SC 29591-5002 - Phone
- (843) 373-0554
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Pruitthealth Hospice Inc
Practice addresses (Care Compare)
2051 Elijah Ludd Rd
Suite 1
Florence, SC 29501-3942
Phone (843) 662-8633
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200311001940 | SC | Practitioner - Nurse Practitioner | 8123456829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current |
Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current |
Accepting new patients |
Locations
1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875
2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501
Phone (843) 573-8623
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22724 | SC | Yes |
Addresses
Primary practice location
288 Anderson Bridge Rd
Scranton, SC 29591-5002
Mailing address
288 Anderson Bridge Rd
Scranton, SC 29591-5002
Phone (843) 373-0554
Other providers in Scranton, SC
- Robin M Parker
- Megan Lowder Powell
- Tyquan Richardson
- Sweet Serenity Home
- T & E Community Resource Center
- Wilson Medical Transport
All providers in Scranton, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.