Holly Surrency, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

17794 Issued in SC

Practice address

216 Edgefield Ave NW
Aiken, SC 29801-3910

Phone

(803) 648-4224

NPI assigned

May 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• University Medical Associates of Aiken PA

  • Family Medicine Physician
  • Aiken, SC
  • NPI 1770502734
  Medicare reassignment NPD
• Aiken Emergency Physicians

  • Primary Care Nurse Practitioner
  • Aiken, SC
  • NPI 1205622362
  NPD
• Aiken Emergency Physicians, PA

  • Family Medicine Physician
  • Aiken, SC
  • NPI 1043296700
  NPD

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1104261916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 EDGEFIELD AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013910",
            "telephone_number": "803-648-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 EDGEFIELD AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013910",
            "telephone_number": "803-648-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRENCY",
        "first_name": "HOLLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "17794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lauren Stubblefield, MS, CCC-SLP
• Natlie Shaneiva Suber
• Ashton Sullivan, LISW-CP
• Josetta Lavonia Sumter-Cobb, MA, LPC-I
• Supportive Home Care Services
• Susan K Jordan Counseling
• Jeni Bipinbhai Sutariya
• Tangalen Latrisa Sutton
• Phillip T Suwan, MD
• Sweetgrass Renewal Services LLC

• Primary Care Nurse Practitioner in Aiken, SC
• Providers in Aiken, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.