Mamie Duck

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Practice address

207A N Washington St
Sumter, SC 29150-4204

Phone

(803) 938-5898

Fax

(803) 938-5443

NPI assigned

Sep 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1104474238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207A N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504204",
            "telephone_number": "803-316-4571",
            "fax_number": "803-938-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207A N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504204",
            "telephone_number": "803-938-5898",
            "fax_number": "803-938-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCK",
        "first_name": "MAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "SC",
            "license": "004399",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSED",
            "identifier": "044139",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014415",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WE KARE HOME CARE AGENCY",
            "identifier": "3014415",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mamieduck123@hotmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home health care",
            "address_1": "60 Club Forest Ct",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291546247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dubose Agency, Inc.
• E Macdonald Dubose, M.D.
• Macdonald Mayes Dubose, M.D.
• Megan Floyd Dubose, OT
• Olive Elizabeth Dubose
• Rachel Duenas
• Brianna Rose Duffy, LMSW
• Edward William Duffy Jr., MD
• Denise Christine Duke, BCBA
• Susan T. Duran, P.T.

• Nursing Care Agency in Sumter, SC
• Providers in Sumter, SC by specialty
• Nursing Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.