Individual provider Active NPI

Cathy M Ford, FNP-BC

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1073701165
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3355 Issued in SC
Practice address
3322 N Main St
Anderson, SC 29621-4108
Phone
(864) 349-2900
NPI assigned
Oct 15, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3355 SC Primary
Nurse Practitioner 363L00000X F3355 SC

Addresses

Primary practice location

3322 N Main St
Anderson, SC 29621-4108

Mailing address

3322 N Main St
Anderson, SC 29621-4108
Phone (864) 349-2900

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
I20120514000093 SC Practitioner - Nurse Practitioner 8426211368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1509 Dulles Dr
Lafayette, LA 70506-3718

300 E McBee Ave
Greenville, SC 29601-2842

54 Bear Dr
Greenville, SC 29605-4458

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3355SCMDPhysical Therapy Assistant
F3355SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PH Health Care Services Inc CurrentSince May 7, 2024 Accepting new patients
Pelzer Urgent Care LLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Dec 1, 2024 Accepting new patients
SC Urgent Care LLC CurrentSince Sep 8, 2022 Accepting new patients

Locations

3322 N Main St
Anderson, SC 29621
Phone (864) 349-2900

101 Grace Dr
Easley, SC 29640
Phone (864) 269-3725

807 S Pendleton St
Easley, SC 29640
Phone (864) 307-9212

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

323 Lebby St
Pelzer, SC 29669
Phone (864) 847-2044

Interoperability endpoints

  • Direct secure messaging: cford823648@direct.ghs.myhfn.org

Organizations & group practices 4

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1073701165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214108",
            "telephone_number": "864-349-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214108",
            "telephone_number": "864-349-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CATHY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F3355",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "F3355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.