NPIMap

Individual provider Active NPI

Lori Bailey Whitlock, FNP-C

  • Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1093453383
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27904 Issued in SC
Practice address
301 Crescent Ave
Spartanburg, SC 29306-4143
Phone
(864) 582-2411
NPI assigned
May 25, 2022
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27904 SC Primary

Addresses

Primary practice location

301 Crescent Ave
Spartanburg, SC 29306-4143

Mailing address

PO Box 5158
Spartanburg, SC 29304-5158

Other practice location 1

123 Dillon Dr
Spartanburg, SC 29307
Phone (864) 591-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614002838 SC Practitioner - Nurse Practitioner 7618410945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 College St
Spartanburg, SC 29303-3556
Phone (864) 582-2411

750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of South Carolina, LLC CurrentSince May 1, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 27, 2025 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 27, 2025 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients

Locations

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

123 Dillon Dr
Spartanburg, SC 29307
Phone (864) 573-9100

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (800) 932-2378

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1093453383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CRESCENT AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293064143",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Dillon Dr",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "29307",
            "country_code": "US",
            "telephone_number": "864-591-2004",
            "fax_number": "864-591-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "LORI",
        "middle_name": "BAILEY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "27904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.