Individual provider Active NPI

Tammy Sue Page

  • Family Nurse Practitioner
  • Okatie, SC
National Provider Identifier
1093477820
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29977 Issued in SC
Practice address
122 Okatie Center Blvd N Ste 100
Okatie, SC 29909-3782
Phone
(843) 706-8840
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 254674 SC
Family Nurse Practitioner 363LF0000X 29977 SC Primary

Addresses

Primary practice location

122 Okatie Center Blvd N Ste 100
Okatie, SC 29909-3782

Mailing address

70 Bass Lake Dr
Ridgeland, SC 29936-6704

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
I20250619000270 SC Practitioner - Nurse Practitioner 5496266090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

1 Burnt Church Rd
Suite a
Bluffton, SC 29910-6405
Phone (843) 706-2185

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254674SCMDRegistered Nurse
29977SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Beaufort County Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1 Burnt Church Rd
Bluffton, SC 29910
Phone (843) 681-4977

1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185

122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040

122 Okatie Center Blvd N
Ste 100
Okatie, SC 29909
Phone (843) 706-2185

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: tammy.page.1@16436.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1093477820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BASS LAKE DR",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299366704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 OKATIE CENTER BLVD N STE 100",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093782",
            "telephone_number": "843-706-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "254674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.