Amber Nicole Ballentine, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

18710 Issued in SC

Practice address

22 Bozard St
Manning, SC 29102-2935

Phone

(803) 435-8828

Fax

(803) 435-2239

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

No

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.

• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1518074640

  Nurse Practitioner, SC

  Medicare reassignment Care Compare group NPD
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1225687338

  Nurse Practitioner

  NPD
• Colonial Family Practice - Manning

  • Family Medicine Physician
  • Manning, SC
  • NPI 1689006652
  NPD (past)
• Colonial Family Practice & Ambulatory Care Center

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1902229214

  Nurse Practitioner

  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Camden, SC
  • NPI 1033402599

  Nurse Practitioner

  NPD (past)
• Colonial Family Practice, LLC

  • Neurology Physician
  • Sumter, SC
  • NPI 1164833026
  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Manning, SC
  • NPI 1467999326

  Nurse Practitioner

  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1497060719
  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Manning, SC
  • NPI 1508302308
  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1730352857
  NPD (past)
• Colonial Family Practice, LLC

  • Sports Medicine (Family Medicine) Physician
  • Sumter, SC
  • NPI 1831435429
  NPD (past)
• Colonial Family Practice, LLC

  • Pediatrics Physician
  • Sumter, SC
  • NPI 1851547640
  NPD (past)

Specialty

Nurse Practitioner

Education

University of South Carolina School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Colonial Family Practice LLC 58 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2020.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1104243518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BOZARD ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022935",
            "telephone_number": "803-435-8828",
            "fax_number": "803-435-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BOZARD ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022935",
            "telephone_number": "803-435-8828",
            "fax_number": "803-435-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENTINE",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "18710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3502",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atc Home Care Service
• Druid Carlisle Atwell, DO
• B & H Consultants LLC
• Chris Bachochin, PHARMD
• Beryl Lynette Bachus Keith, MD
• Adebola Bamidele, DO
• Lashana Barr
• Devonne D. Barrineau, MD
• Patricia Levonnie Barrineau, FNP
• Ann Bethea Barwick

• All providers in Manning, SC
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.